CHARLES S POLLEY MD
NPI 1215028642
Emergency Medicine in Cody, WY
About Charles S Polley Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLES S POLLEY MD (NPI 1215028642) is an individual emergency medicine provider in Cody, Wyoming, licensed in Wyoming (5435A) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and is a graduate of Texas A & M University System, Hsc, College Of Medicine (1993).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Charles S Polley Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
5Medicare enrollment records show Charles Polley reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cody, WY 82414
- Reassigned Medicare billing, Wyoming enrollment
- 181 clinicians in this Medicare group
Cody, WY 82414
- Reassigned Medicare billing, Montana and Wyoming enrollments
- 1,264 clinicians in this Medicare group
Lovell, WY 82431
- Reassigned Medicare billing, Wyoming enrollment
- Medicare enrollment name: North Big Horn Hospital District
- 65 clinicians in this Medicare group
Red Lodge, MT 59068
- Reassigned Medicare billing, Montana enrollment
- Also billed through NPI 1336119338 (Montana)
- 85 clinicians in this Medicare group
Basin, WY 82410
- Reassigned Medicare billing, Wyoming enrollment
- 41 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Billings Clinic
Acute Care Hospitals · Billings, MTSouth Big Horn County Hospital
Critical Access Hospitals · Basin, WYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 82414 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Charles Polley's NPI number?
The NPI number for Charles Polley is 1215028642. It was assigned to this individual provider in the NPPES registry on September 28, 2006.
Where is Charles Polley located?
Charles Polley practices at 707 Sheridan Ave, Cody, WY 82414. The listed phone number is (307) 527-7501.
What is Charles Polley's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Charles Polley enrolled in Medicare?
Yes. Charles Polley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Charles Polley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charles Polley reassigns Medicare benefits to 5 organizations: West Park Hospital District (Cody, WY), Billings Clinic (Cody, WY), North Big Horn Hospital (Lovell, WY), Memorial Hospital Association (Red Lodge, MT) and South Big Horn County Hospital District (Basin, WY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Polley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charles Polley accept?
Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Charles Polley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Charles Polley affiliated with any hospitals?
According to CMS data, Charles Polley is affiliated with Billings Clinic and South Big Horn County Hospital.
When was this NPI record last updated?
The NPPES record for Charles Polley was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Charles S Polley, MD · NPI 1215028642
Emergency Medicine physician in Cody, Wyoming. Individual provider, active in the CMS NPPES registry since September 28, 2006.
## Identity
- **NPI:** 1215028642 (Entity type: Individual)
- **Enumerated:** September 28, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 5435A (Wyoming)
- **Sole proprietor:** No
## Practice location
- **Address:** 707 SHERIDAN AVE, Cody, WY 82414-3409
- **Phone:** (307) 527-7501 · **Fax:** (307) 578-2492
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): West Park Hospital District (NPI 1295815744, Cody, WY); Billings Clinic (NPI 1346288347, Cody, WY); North Big Horn Hospital (NPI 1750485793, Lovell, WY); Memorial Hospital Association (NPI 1184785099, Red Lodge, MT); South Big Horn County Hospital District (NPI 1013919794, Basin, WY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Texas A & M University System, Hsc, College Of Medicine, class of 1993
## Record status
- **NPPES last updated:** December 4, 2025
- **Other identifiers:** Medicaid 109873000 (WY); Other 307422 (WY)
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Source: [NPI Profile](https://npiprofile.com/npi/1215028642) · Data from the CMS NPPES public registry.