Individual provider Active NPI

Nathan W Polley, MD

  • Orthopaedic Surgery Physician
  • Madison, IN
National Provider Identifier
1003105529
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
01081100A Issued in IN
Practice address
1373 E State Road 62 Ste 2a
Madison, IN 47250-7328
Phone
(812) 801-0848
Fax
(812) 801-0773
NPI assigned
Apr 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X TP300 KY
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery Physician 207X00000X 49607 KY
Orthopaedic Surgery Physician 207X00000X 01081100A IN Primary

Addresses

Primary practice location

1373 E State Road 62 Ste 2a
Madison, IN 47250-7328

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other practice location 1

150 Frankfort Rd Ste 102B
Shelbyville, KY 40065-7401
Phone (502) 633-9030

Other practice location 2

8033 Dixie Hwy
Louisville, KY 40258-1344
Phone (502) 449-6448

Other practice location 3

3 Audubon Plaza Dr Ste 620
Louisville, KY 40217-1362
Phone (502) 449-6448

Other practice location 4

1220 Spring St
Jeffersonville, IN 47130-3704
Phone (812) 282-8494

Other practice location 5

9451 Westport Rd Ste 122C
Louisville, KY 40241-2295
Phone (502) 855-7325

Other practice location 6

1230 Market St
LA Grange, KY 40031-7986
Phone (502) 394-6341

Other practice location 7

9880 Angies Way Ste 205
Louisville, KY 40241-2858
Phone (502) 394-6341

Other practice location 8

130 Hunter Station Way Ste 230
Sellersburg, IN 47172-8930
Phone (812) 282-8494

Other practice location 9

9880 Angies Way Ste 250
Louisville, KY 40241-2865
Phone (502) 394-6341

Other practice location 10

3707 Charlestown Rd Ste C1
New Albany, IN 47150-9254
Phone (812) 944-4720

Other practice location 11

2412 Ring Rd Ste 100
Elizabethtown, KY 42701-5912
Phone (502) 855-7325

Other practice location 12

3 Audubon Plaza Dr Ste 430
Louisville, KY 40217-1319
Phone (502) 636-4900

Other practice location 13

9300 Stonestreet Rd Ste 200
Louisville, KY 40272-2894
Phone (502) 449-6448

Other practice location 14

210 E Gray St Ste 604
Louisville, KY 40202-3902
Phone (502) 629-5633

Other practice location 15

4123 Dutchmans Ln Ste 100
Louisville, KY 40207-4707
Phone (502) 636-4905

Other practice location 16

170 Dr Arla Way Ste 101
Louisville, KY 40229-5427
Phone (502) 636-9226

Other practice location 17

1461 N Gardner St
Scottsburg, IN 47170-7751
Phone (812) 282-8494

Other practice location 18

4123 Dutchmans Ln Ste 401
Louisville, KY 40207-4733
Phone (502) 559-1400

Other practice location 19

4123 Dutchmans Ln Ste 101
Louisville, KY 40207-4718
Phone (502) 587-1236

Other practice location 20

309 11th St
Carrollton, KY 41008-1435
Phone (502) 732-3204

Other practice location 21

309 11th St
Carrollton, KY 41008-1435
Phone (502) 732-3204

Other identifiers 2

IdentifierTypeStateIssuer
201393180MedicaidIN
7100211870MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181120002258 IN Practitioner - Orthopedic Surgery 5799092094 Reassigns benefits to 2 organizations
I20250310002838 KY Practitioner - Orthopedic Surgery 5799092094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Louisville School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, shared by 2 NPIs, 1,368 clinicians

Practice addresses (Care Compare)

1373 E State Rd
Madison, IN 47250-7328
Phone (812) 801-0848

2412 Ring Rd
Suite 100
Elizabethtown, KY 42701-5912
Phone (270) 769-2273

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Jeffersonville, IN, CCN 157221
  • Norton-King'S Daughters' Health Hospital, Madison, IN, CCN 150069
  • St Elizabeth Dearborn Hospital Hospital, Lawrenceburg, IN, CCN 150086
  • Carroll County Memorial Hospital Hospital, Carrollton, KY, CCN 181310
  • Norton Scott Hospital Hospital, Scottsburg, IN, CCN 151334
  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

Merit-based Incentive Payment System (MIPS)

Final score
63.09 of 100Reported as group
Quality
45.91
Improvement activities
40
Cost
76.14

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement24
Knee replacement44
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)15
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tristate Pathology and Forensic Services LLC Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Community Medical Associates, Inc. Orthopaedic Surgery Past Accepting new patients

Locations (25 of 29)

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

1220 Spring St
Jeffersonvlle, IN 47130
Phone (812) 282-8494

1373 E State Road 62
Ste 2A
Madison, IN 47250
Phone (812) 801-0848

630 Broadway St
Madison, IN 47250
Phone (812) 265-0801

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

3707 Charlestown Rd
Ste C1
New Albany, IN 47150
Phone (812) 944-4720

1461 N Gardner St
Scottsburg, IN 47170
Phone (812) 282-8494

130 Hunter Station Way
Ste 230
Sellersburg, IN 47172
Phone (812) 282-8494

1190 W Main St
Ste 200
Vevay, IN 47043
Phone (812) 427-9423

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

205 Marwill Dr
Carrollton, KY 41008
Phone (502) 268-5500

2412 Ring Rd
Ste 100
Elizabethtown, KY 42701
Phone (270) 737-2273

1230 Market St
Lagrange, KY 40031
Phone (502) 225-6900

4123 Dutchmans Ln
Ste 100
Louisville, KY 40207
Phone (502) 636-4905

9300 Stonestreet Rd
Ste 200
Louisville, KY 40272
Phone (502) 935-8061

170 Dr Arla Way
Ste 101
Louisville, KY 40229
Phone (502) 888-1988

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

8033 Dixie Hwy
Louisville, KY 40258
Phone (502) 937-3154

4123 Dutchmans Ln
Ste 101
Louisville, KY 40207
Phone (502) 559-1777

3 Audubon Plaza Dr
Ste 620
Louisville, KY 40217
Phone (502) 587-9140

9880 Angies Way
Ste 250
Louisville, KY 40241
Phone (502) 394-6340

9451 Westport Rd
Ste 122C
Louisville, KY 40241
Phone (502) 559-3636

210 E Gray St
Ste 604
Louisville, KY 40202
Phone (502) 629-5440

4123 Dutchmans Ln
Ste 401
Louisville, KY 40207
Phone (502) 394-6341

Interoperability endpoints

  • Direct secure messaging: npolley40859@direct.nortonhealthcare.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/9785b033-fa30-4746-84ca-c07c9380c88e/
  • FHIR API: https://fhir-usa.unify.chbase.com/org/carrcmh-bfcca679

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1003105529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1373 E STATE ROAD 62 STE 2A",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472507328",
            "telephone_number": "812-801-0848",
            "fax_number": "812-801-0773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Frankfort Rd Ste 102B",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "KY",
            "postal_code": "400657401",
            "country_code": "US",
            "telephone_number": "502-633-9030",
            "fax_number": "502-633-9093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8033 Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402581344",
            "country_code": "US",
            "telephone_number": "502-449-6448",
            "fax_number": "502-449-6455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Audubon Plaza Dr Ste 620",
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            "postal_code": "402171362",
            "country_code": "US",
            "telephone_number": "502-449-6448",
            "fax_number": "502-449-6455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1220 Spring St",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471303704",
            "country_code": "US",
            "telephone_number": "812-282-8494",
            "fax_number": "812-288-4481",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9451 Westport Rd Ste 122C",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402412295",
            "country_code": "US",
            "telephone_number": "502-855-7325",
            "fax_number": "502-855-7326",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1230 Market St",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "KY",
            "postal_code": "400317986",
            "country_code": "US",
            "telephone_number": "502-394-6341",
            "fax_number": "502-394-6340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9880 Angies Way Ste 205",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402412858",
            "country_code": "US",
            "telephone_number": "502-394-6341",
            "fax_number": "502-394-6340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Hunter Station Way Ste 230",
            "address_purpose": "LOCATION",
            "city": "Sellersburg",
            "state": "IN",
            "postal_code": "471728930",
            "country_code": "US",
            "telephone_number": "812-282-8494",
            "fax_number": "812-288-4481",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9880 Angies Way Ste 250",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402412865",
            "country_code": "US",
            "telephone_number": "502-394-6341",
            "fax_number": "502-394-6340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3707 Charlestown Rd Ste C1",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471509254",
            "country_code": "US",
            "telephone_number": "812-944-4720",
            "fax_number": "812-590-2296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2412 Ring Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427015912",
            "country_code": "US",
            "telephone_number": "502-855-7325",
            "fax_number": "502-855-7326",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Audubon Plaza Dr Ste 430",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402171319",
            "country_code": "US",
            "telephone_number": "502-636-4900",
            "fax_number": "502-636-4901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9300 Stonestreet Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402722894",
            "country_code": "US",
            "telephone_number": "502-449-6448",
            "fax_number": "502-449-6455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 E Gray St Ste 604",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402023902",
            "country_code": "US",
            "telephone_number": "502-629-5633",
            "fax_number": "502-629-5580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4123 Dutchmans Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074707",
            "country_code": "US",
            "telephone_number": "502-636-4905",
            "fax_number": "502-636-4901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "170 Dr Arla Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402295427",
            "country_code": "US",
            "telephone_number": "502-636-9226",
            "fax_number": "502-636-0064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1461 N Gardner St",
            "address_purpose": "LOCATION",
            "city": "Scottsburg",
            "state": "IN",
            "postal_code": "471707751",
            "country_code": "US",
            "telephone_number": "812-282-8494",
            "fax_number": "812-288-4481",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4123 Dutchmans Ln Ste 401",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074733",
            "country_code": "US",
            "telephone_number": "502-559-1400",
            "fax_number": "502-559-1415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4123 Dutchmans Ln Ste 101",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074718",
            "country_code": "US",
            "telephone_number": "502-587-1236",
            "fax_number": "502-587-0126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 11th St",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "KY",
            "postal_code": "410081435",
            "country_code": "US",
            "telephone_number": "502-732-3204",
            "fax_number": "502-732-3212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 11th St",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "KY",
            "postal_code": "410081435",
            "country_code": "US",
            "telephone_number": "502-732-3204",
            "fax_number": "502-732-3212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLEY",
        "first_name": "NATHAN",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-05",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "TP300",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "49607",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01081100A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201393180",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100211870",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, IN

Sources for this page

Verify at the official NPI Registry.