TINA POLLEY
NPI 1548657117
Nurse Practitioner - Family in Woodbridge, VA

Active since April 22, 2015PECOS EnrolledAccepts Medicare Assignment
80.82/100
CMS Quality Rating
14010 SMOKETOWN RD, SUITE 117, WOODBRIDGE, VA 22192(703) 580-0181(703) 897-8763 Get Directions Write a Review

NPPES record last updated: April 22, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tina Polley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TINA POLLEY (NPI 1548657117) is an individual family provider in Woodbridge, Virginia, licensed in Virginia (0024172535) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Novant Prince William Medical Center, and is a graduate of Georgetown University School Of Medicine (2014).

NPPES Registry Identity

NPI1548657117
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTINA POLLEY
Location Address14010 SMOKETOWN RD, SUITE 117Woodbridge, VA 22192-4722
Mailing Address14010 Smoketown Rd, Suite 117Woodbridge, VA 22192-4722 · (703) 580-0181 · Fax (703) 897-8763
Fax(703) 897-8763
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2014
Enumeration DateApril 22, 2015
NPI 1548657117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in VA · 0024172535
14010 SMOKETOWN RD, Woodbridge, VA 22192

Other Names 1

Former Name (1)Tina Thieu

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tina Polley 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.

PECOS PAC ID8022320258
PECOS Enrollment IDI20150701000536, I20151221001637
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
42 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services16 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Prince William Medical Center

Acute Care Hospitals · Manassas, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490045
Location8700 Sudley RdManassas, VA 20110 · Manassas City County
Emergency services Birthing friendly

Sentara Northern Virginia Medical Center

Acute Care Hospitals · Woodbridge, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490113
Location2300 Opitz BoulevardWoodbridge, VA 22191 · Prince William County
Emergency services Birthing friendly

Uva Health Haymarket Medical Center

Acute Care Hospitals · Haymarket, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490144
Location15225 Healthcote BoulevardHaymarket, VA 20169 · Prince William County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22192 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

80.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.63
Promoting Interoperability100
Improvement Activities40
Cost74.45

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
14010 SMOKETOWN RD, SUITE 117
WOODBRIDGE, VA 22192
Internal Medicine (Gastroenterology)
14010 SMOKETOWN RD, SUITE 117
WOODBRIDGE, VA 22192
Internal Medicine (Gastroenterology)
14010 SMOKETOWN RD, SUITE 117
WOODBRIDGE, VA 22192
Dentist (General Practice)
14010 SMOKETOWN RD
WOODBRIDGE, VA 22192
Internal Medicine (Gastroenterology)
14010 SMOKETOWN RD, SUITE 117
WOODBRIDGE, VA 22192
Physician Assistant
14010 SMOKETOWN RD, SUITE 117
WOODBRIDGE, VA 22192
Internal Medicine (Gastroenterology)
14010 SMOKETOWN RD, SUITE 117
WOODBRIDGE, VA 22192
Internal Medicine (Gastroenterology)
14010 SMOKETOWN RD, SUITE 117
WOODBRIDGE, VA 22192

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 Tina Polley's NPI number?

The NPI number for Tina Polley is 1548657117. It was assigned to this individual provider in the NPPES registry on April 22, 2015. The provider is also known as Tina Thieu.

Where is Tina Polley located?

Tina Polley practices at 14010 Smoketown Rd Suite 117, Woodbridge, VA 22192. The listed phone number is (703) 580-0181.

What is Tina Polley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tina Polley enrolled in Medicare?

Yes. Tina 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.

Is Tina Polley affiliated with any hospitals?

According to CMS data, Tina Polley is affiliated with Novant Prince William Medical Center, Sentara Northern Virginia Medical Center and Uva Health Haymarket Medical Center.

When was this NPI record last updated?

The NPPES record for Tina Polley was last updated on April 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.