John William Polley, M.D.
NPI 1477534931ActiveIndividual· Plastic Surgery· Traverse City, MI
Plastic Surgery (M.D.) in Traverse City, Michigan, licensed in MI, with an NPI issued in November 2005. Medicare paid $6,894 for services to 19 patients in 2024. Kls-Martin L.P. was the largest of 2 companies reporting payments in 2025, $77,167 in all, mostly royalties and licenses.
Overview
| NPI | 1477534931 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Nov 10, 2005 |
| Last updated in NPPES | Mar 7, 2023 |
| Certified by provider | Jan 17, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | 4301403808 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Plastic and Reconstructive Surgery (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 19 |
|---|---|
| Services billed | 27 across 14 procedure codes |
| Paid by Medicare | $6,894 |
Industry payments (Open Payments)
- 2025$77,167 · 5 payments from 2 companies
- 2024$74,769 · 7 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Kls-Martin L.P. | $77,103 | 4 |
| Mentor Worldwide LLC | $64.23 | 1 |
What the 2025 payments were for
- Royalty or License$77,103 · 4 payments
- Food and Beverage$64.23 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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