NPPES file of Aug 9, 2026

John William Polley, M.D.

Plastic Surgery Physician · Traverse City, MI

John William Polley, M.D. is a plastic surgery physician with a practice address in Traverse City, Michigan, and NPI 1477534931, issued on Nov 10, 2005. Check the license (Michigan 4301403808, as entered in NPPES) on the Michigan Board of Medicine (LARA); the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1477534931
Name
John William Polley
Credential
M.D.
Primary taxonomy
Plastic Surgery Physician 208200000X
License number
4301403808 MI
Self-reported in NPPES; status is on the state search
Practice location
5085 Anna Dr Ste A, Traverse City, MI 49684
Phone
(231) 935-0180
Enumerated
Nov 10, 2005
Record last updated
Mar 7, 2023
Fax
(231) 935-0099
Medicaid ID
036079739 IL
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 5085 Anna Dr Ste A

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Abigail Bobbitt, PA-CPhysician Assistant1356809883
  2. F Smith, MDPlastic Surgery Physician1285614032
  3. Megan Vanderkaay, PAPhysician Assistant1770279366

Verify John William Polley in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMichigan Board of Medicine (LARA)
    Search for license 4301403808
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Michigan license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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The practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualitynot scored (reweighted)
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $74,768.84

7 payments; by number, the most common kind was royalty or license; the largest payer was KLS-Martin L.P. The 3,683 providers of this specialty with any payment received $5,316.31 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. John Polley$74,769
  2. Specialty average$5,316

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

John William Polley among 176 plastic surgery physician records in Michigan

John William Polley, M.D. is one of 176 plastic surgery physician records with a practice address in Michigan. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 85% newer
  • In a Medicare fileYes · 80% of these records are
  • In the CMS Doctors and Clinicians fileNo · 52% of these records are
  • Record last updated2023 · 52% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208200000X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Plastic Surgery Physician providers in Michigan

There are 176 plastic surgery physician records in Michigan.

The 8 plastic surgery physician records with the nearest ZIP codes

  1. Ryan Burke, MDTraverse City, MI 496841639566094
  2. Thomas Doerr, M.D.Traverse City, MI 496841699886168
  3. Christopher Jeffries, M.D.Traverse City, MI 496841306003819
  4. F Smith, MDTraverse City, MI 496841285614032
  5. Steven Thomas, MDTraverse City, MI 496841306819461
  6. Kyle Ver Steeg, MDTraverse City, MI 496841356494710
  7. William Kane, M.D.Petoskey, MI 497701952461618
  8. Jeffrey Smith, MDPetoskey, MI 497701144203175

Common questions

What is John William Polley, M.D.'s NPI number?

John William Polley, M.D.'s National Provider Identifier (NPI) is 1477534931, issued on Nov 10, 2005. An NPI identifies a provider in billing; it is not a license.

Where is John William Polley, M.D. located?

The NPPES record lists a practice address at 5085 Anna Dr Ste A, Traverse City, MI, 49684. Phone: (231) 935-0180. Providers update this record themselves, so call before visiting.

How can I verify John William Polley, M.D.'s license?

NPPES lists Michigan license number 4301403808, as entered by the provider. Search the Michigan Board of Medicine (LARA) at https://aca-prod.accela.com/MILARA/GeneralProperty/PropertyLookUp.aspx?isLicensee=Y&TabName=APO. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

What is John William Polley, M.D.'s MIPS final score?

The 2023 MIPS final score is 100 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.