DONALD H POLK (DO) – Family Medicine Physician, NPI 1497747778
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,210 FAMILY PRACTICE in TN
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Provider Addresses for DONALD H POLK (DO)
206, Clifton Turnpike, Waynesboro, Wayne County, Tennessee, 38485, United States
WAYNESBORO, TN 384852301
Phone: (931) 722-3677
Fax: (931) 722-9052
Type: Location
PO BOX 778
WAYNESBORO, TN 384850778
Phone: (931) 722-3677
Fax: (931) 722-9052
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-04-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040401000573 | I | Family Practice | TN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 321 | 62 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 276 | 32 | $0 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 216 | 34 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 187 | 56 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 128 | 32 | $0 |
Insurance plans in this area (ZIP 38485)
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Provider's Procedures
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