Active NPI 1124062690 Individual Practitioner Male Practitioner

Dr. Stephen H Pollom , MD

Internal Medicine • Avon, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Pollom, MD is a certified Internal Medicine practicing in Avon, IN. With approximately 53 years of clinical experience since graduating from Indiana University School Of Medicine in 1973, Dr. Pollom delivers high-quality medical care to the local community at 1115 RONALD REAGAN PKWY.

Dr. Pollom maintains professional affiliations with Indiana University Health Care Associates Inc, Iu Health Medical Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, hemoglobin a1c level, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1115 Ronald Reagan Pkwy
Ste 318

Avon, IN 461236910

Telephone 3172172600

Fax 3172172606

Associated Practice Facility / Clinic

🏢 Pediatric Associates Of Avon Facility NPI 1659355451

Medicare Profile & Education

Medical School

Indiana University School Of Medicine

Graduation Year

1973

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Avon, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

53 Yrs +33.4 yrs vs City Avg

City Avg: 19.6 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

33 Specialists

Practicing in Avon, IN (2204 Statewide)

Telehealth Adoption Rate

12.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

42.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pollom (53 Years) 53 Yrs

Avon Specialty Average (19.6 Years) 19.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	328	192	$183.00	$119.19
99213 Established patient office or other outpatient visit, typically 15 minutes	269	187	$127.00	$84.33
83036 Hemoglobin A1C level	164	93	$46.00	$9.52
G0008 Administration of influenza virus vaccine	68	66	$39.00	$30.10
90662 Influenza vaccine split virus, preservative free	66	64	$147.00	$81.07
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	62	27	$58.00	$21.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$206.00	$120.44
90480 Admn sarscov2 vacc 1 dose	25	24	$94.00	$40.13
91320 Sarscv2 vac 30mcg trs-suc im	25	24	$210.00	$150.84
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	18	18	$578.00	$288.51
G0009 Administration of pneumococcal vaccine	17	17	$35.00	$30.10
99496 Transitional care management services for problem of high complexity	17	15	$406.00	$258.42
99495 Transitional care management services for problem of at least moderate complexity	17	16	$306.00	$191.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$289.00	$154.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	356	209	$216.00	$119.16
99213 Established patient office or other outpatient visit, typically 15 minutes	280	194	$156.00	$83.86
83036 Hemoglobin A1C level	184	114	$33.00	$9.47
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	171	75	$66.00	$21.43
G0008 Administration of influenza virus vaccine	88	88	$44.00	$28.63
90662 Influenza vaccine split virus, preservative free	86	86	$79.00	$70.98
85610 Blood test, clotting time	69	17	$12.00	$4.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$156.00	$120.11
99496 Transitional care management services for problem of high complexity	24	20	$520.00	$257.01
0124A Fee covid-19 vac 13 res	22	22	$84.00	$38.17
90480 Admn sarscov2 vacc 1 dose	19	19	$84.00	$38.17
91320 Sarscv2 vac 30mcg trs-suc im	19	19	$210.00	$128.48
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	13	13	$352.00	$282.52
G0009 Administration of pneumococcal vaccine	13	13	$45.00	$28.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$313.00	$156.25
99495 Transitional care management services for problem of at least moderate complexity	11	11	$375.00	$189.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	344	201	$216.00	$119.69
99213 Established patient office or other outpatient visit, typically 15 minutes	297	211	$156.00	$84.73
83036 Hemoglobin A1C level	172	107	$33.00	$9.55
G0008 Administration of influenza virus vaccine	96	96	$44.00	$27.29
90662 Influenza vaccine split virus, preservative free	90	90	$79.00	$68.43
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	84	51	$66.00	$21.28
85610 Blood test, clotting time	42	15	$12.00	$4.24
0124A Fee covid-19 vac 13 res	30	30	$84.00	$36.16
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$156.00	$122.39
G0009 Administration of pneumococcal vaccine	15	15	$44.67	$27.46
0054A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, tris-sucrose formulation; booster dose	15	15	$90.00	$36.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$217.00	$104.30
99496 Transitional care management services for problem of high complexity	11	11	$520.00	$259.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	373	203	$216.00	$121.72
99213 Established patient office or other outpatient visit, typically 15 minutes	367	228	$156.00	$86.04
83036 Hemoglobin A1C level	223	125	$33.00	$9.67
G0008 Administration of influenza virus vaccine	109	109	$44.00	$15.83
90662 Influenza vaccine split virus, preservative free	104	104	$79.00	$65.26
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	83	39	$66.00	$21.20
85610 Blood test, clotting time	66	17	$12.00	$3.78
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	37	37	$232.00	$159.10
99496 Transitional care management services for problem of high complexity	23	20	$520.00	$263.16
G0009 Administration of pneumococcal vaccine	20	20	$44.00	$15.83
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$123.00	$116.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$156.00	$125.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$217.00	$105.68
99495 Transitional care management services for problem of at least moderate complexity	13	11	$375.00	$194.29
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$336.00	$159.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	221	156	$156.00	$70.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	173	115	$216.00	$102.81
83036 Hemoglobin A1C level	119	74	$33.00	$9.67
G0008 Administration of influenza virus vaccine	93	93	$44.00	$15.84
90662 Influenza vaccine split virus, preservative free	89	89	$79.00	$60.43
G0009 Administration of pneumococcal vaccine	52	52	$44.00	$15.83
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	48	48	$123.00	$119.59
99441 Telephone medical discussion with physician, 5-10 minutes	30	30	$57.50	$42.68
99442 Telephone medical discussion with physician, 11-20 minutes	30	27	$93.60	$65.71
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	29	19	$66.00	$21.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$313.00	$155.81
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	18	18	$55.83	$13.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$217.00	$101.83
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$336.00	$158.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	417	224	$156.00	$69.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	251	136	$216.00	$101.10
83036 Hemoglobin A1C level	149	75	$33.00	$10.57
G0008 Administration of influenza virus vaccine	104	103	$44.00	$15.55
90662 Influenza vaccine split virus, preservative free	97	96	$79.00	$54.78
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	48	23	$66.00	$21.24
85610 Blood test, clotting time	35	12	$12.00	$4.28
G0009 Administration of pneumococcal vaccine	22	22	$44.00	$15.55
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	20	20	$123.00	$105.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$313.00	$153.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	448	231	$156.00	$68.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	245	122	$216.00	$100.19
83036 Hemoglobin A1C level	162	80	$33.00	$11.75
G0008 Administration of influenza virus vaccine	95	92	$43.62	$19.10
90662 Influenza vaccine split virus, preservative free	88	86	$79.00	$52.06
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	50	19	$66.00	$20.25
G0009 Administration of pneumococcal vaccine	41	41	$40.78	$19.10
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	22	22	$123.00	$105.59
90670 Pneumococcal vaccine for injection into muscle	20	20	$210.00	$197.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	431	222	$156.00	$68.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	228	127	$216.00	$100.08
83036 Hemoglobin A1C level	150	76	$33.00	$12.88
G0008 Administration of influenza virus vaccine	123	122	$38.00	$23.63
90662 Influenza vaccine split virus, preservative free	117	116	$78.74	$47.07
G0009 Administration of pneumococcal vaccine	35	35	$38.00	$23.63
85610 Blood test, clotting time	31	15	$12.00	$5.28
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	31	18	$66.00	$18.91
90670 Pneumococcal vaccine for injection into muscle	24	24	$210.00	$179.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$217.00	$101.31
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$123.00	$96.14

Medical Specialties & State Licenses

CMS Verified: 2021-01-06

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IN 01024982A

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License IN 01024982

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100060460 (IN)

Hospital & Practice Group Affiliations

Iu Health Medical Group Llc

1701 N Senate Blvd, Indianapolis, IN 462021239

Phone: 8884843258

Indiana University Health Care Associates Inc

355 W 16th St, Indianapolis, IN 462022279

Phone: 3179637300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Gregory Spurgin , MD

Internal Medicine

NPI 1487694295

Doctor of Medicine (M.D.)

Sunshine Woodard , NP

Nurse Practitioner - Family

NPI 1710421243

Nurse Practitioner

Dr. Angela Debord Henriksen , MD

Internal Medicine

NPI 1750321576

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Business Mailing Address January 06, 2021

Registered at 250 N SHADELAND AVE, INDIANAPOLIS, IN 462194959 (Tel: 3179623834)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2021

Internal Medicine (License #01024982A in IN)

📍

Updated Business Mailing Address March 19, 2020

Registered at 250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 462194959 (Tel: 3179623834)

✅

NPI Profile Active February 27, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location February 27, 2014

Registered at 1115 RONALD REAGAN PKWY, STE 318, AVON, IN 461236910 (Tel: 3172172600)

📍

Updated Business Mailing Address February 27, 2014

Registered at 250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 462194959

👤

Provider Name / Credentials Updated February 27, 2014

Recorded as STEPHEN POLLOM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2014

Internal Medicine (License #01024982 in IN)

🟢

Initial NPI Registration & Enumeration June 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124062690

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 15, 2006

Last Update: January 06, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

250 N Shadeland Ave

Indianapolis, IN 462194959

Phone: 3179623834

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.