NPI Details
DR. David W Polly, MD is an orthopaedic surgery in Minneapolis, MN with 40 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. DR. David W Polly, MD NPI is 1669483046. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduation Year:1985
The provider's business location address is:
UNIVERSITY OF MINNESOTA PHYSICIANS
2512 SOUTH 7TH STREET, SUITE R102
MINNEAPOLIS, MN
ZIP 55454
Phone: (612) 273-9400
The NPI 1669483046 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Incision or removal of lower spine bone segment (HCPCS:22214)
- Fusion of spine in lower back with partial removal of spine bone and disc (HCPCS:22633)
- Computer-assisted spinal procedure (HCPCS:61783)
- Spinal fusion (HCPCS:NAN02)
- Laminectomy or laminotomy (partial removal of spine bones) (HCPCS:NAN18)
The enumeration date for this NPI number is 8/10/2006 and was last updated on 10/26/2012.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207X00000X | Orthopaedic Surgery | | 34661 | MINNESOTA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 131005 | OTHER | | UCARE |
| 2 | 10387 | MEDICAID | NORTH DAKOTA | |
| 3 | 7777470 | MEDICAID | SOUTH DAKOTA | |
| 4 | 1034987 | OTHER | | PREFERREDONE |
| 5 | P00068632 | MEDICARE ID-TYPE UNSPECIFIED | | RAIL ROAD MEDICARE |
| 6 | 977595100 | MEDICAID | MINNESOTA | |
| 7 | 09-00027 | OTHER | | MEDICA PRIMARY |
| 8 | 0573717 | MEDICAID | IOWA | |
| 9 | HP39572 | OTHER | | HEALTHPARTNERS |
| 10 | 34466400 | MEDICAID | WISCONSIN | |
| 11 | 354R8PO | OTHER | MINNESOTA | BLUECROSS BLUESHIELD |
| 12 | F20841 | MEDICARE UPIN | | |
| 13 | 977595100 | MEDICARE ID-TYPE UNSPECIFIED | MINNESOTA | MEDICARE |
| 14 | 09-01282 | OTHER | | MEDICA - CHOICE |
| 15 | 2032918 | OTHER | | ARAZ |
