Active NPI
Nathan W Polley, MD
- Orthopaedic Surgery Physician
- Madison, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 01081100A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201393180 | Medicaid | IN | |
| 7100211870 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 Inc
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
- Norton-King'S Daughters' Health
- St Elizabeth Dearborn Hospital
- Carroll County Memorial Hospital
- Norton Scott Hospital
- Norton Hospitals, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 63.09 of 100
- Quality
- 45.91
- Improvement activities
- 40
- Cost
- 76.14
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 24 |
| Knee replacement | 44 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 15 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tristate Pathology and Forensic Services LLC | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | 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
- npolley40859@direct.nortonhealthcare.org
- https://fhir-myrecord.cerner.com/r4/9785b033-fa30-4746-84ca-c07c9380c88e/
- 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.
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1306983762
-
- Family Medicine Physician
- Madison, IN
- NPI 1114955093
-
- Anatomic Pathology & Clinical Pathology Physician
- Lawrenceburg, IN
- NPI 1649720244
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
-
- Neurological Surgery Physician
- Louisville, KY
- NPI 1922288760
Orthopaedic Surgery
Hospital & facility affiliations 21
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Jeffersonville, IN
- NPI 1164470373
-
- General Acute Care Hospital
- Madison, IN
- NPI 1518916048
-
- Critical Access Hospital
- Scottsburg, IN
- NPI 1013251594
-
- General Acute Care Hospital
- Lawrenceburg, IN
- NPI 1326142498
-
- Critical Access Hospital
- Carrollton, KY
- NPI 1225159601
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1043348808
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",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.