Active NPI 1508863945 Individual Practitioner Male Practitioner

Dr. James Nicholas Topolgus , MD

Surgery • Bloomington, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Topolgus, MD is a certified Surgery practicing in Bloomington, IN. With approximately 56 years of clinical experience since graduating from Indiana University School Of Medicine in 1970, Dr. Topolgus delivers high-quality medical care to the local community at 3201 W REDDY WAY.

Dr. Topolgus is affiliated with Monroe Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, application of chemical to stop tissue regrowth in wound, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3201 W Reddy Way

Bloomington, IN 474034066

Telephone 8128250756

Associated Practice Facility / Clinic

🏢 James N.topolgus Md Surgical Associates Inc Facility NPI 1740450766

Medicare Profile & Education

Medical School

Indiana University School Of Medicine

Graduation Year

1970

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Bloomington, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

56 Yrs +30.4 yrs vs City Avg

City Avg: 25.6 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

12 Specialists

Practicing in Bloomington, IN (657 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Topolgus (56 Years) 56 Yrs

Bloomington Specialty Average (25.6 Years) 25.6 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	341	74	$166.00	$92.16
99213 Established patient office or other outpatient visit, typically 15 minutes	69	35	$111.00	$62.85
17250 Application of chemical to stop tissue regrowth in wound	46	20	$125.00	$33.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$207.00	$126.64
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	20	11	$432.00	$139.50
97597 Removal of tissue from wound, 20.0 sq cm or less	20	12	$170.00	$33.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	11	$275.00	$137.17

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	398	80	$157.00	$90.24
99213 Established patient office or other outpatient visit, typically 15 minutes	69	31	$105.00	$60.02
17250 Application of chemical to stop tissue regrowth in wound	50	23	$118.00	$30.03
97597 Removal of tissue from wound, 20.0 sq cm or less	45	14	$160.00	$33.39
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	31	14	$408.00	$140.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$195.00	$121.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	16	$151.00	$74.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	14	$259.00	$126.40

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	497	75	$150.89	$91.26
97597 Removal of tissue from wound, 20.0 sq cm or less	115	31	$154.52	$34.22
17250 Application of chemical to stop tissue regrowth in wound	74	18	$114.39	$29.36
99213 Established patient office or other outpatient visit, typically 15 minutes	73	32	$101.22	$62.98
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	63	24	$394.50	$142.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	46	20	$250.19	$137.41
11042 Removal of skin and tissue, 20.0 sq cm or less	34	16	$261.09	$53.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$186.96	$127.09
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$295.70	$172.71

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	464	86	$148.00	$92.30
97597 Removal of tissue from wound, 20.0 sq cm or less	55	22	$151.00	$34.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	53	32	$244.00	$137.09
99213 Established patient office or other outpatient visit, typically 15 minutes	45	26	$99.00	$61.91
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	38	38	$293.00	$175.52
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	36	17	$385.00	$136.94
17250 Application of chemical to stop tissue regrowth in wound	33	11	$111.00	$30.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$184.00	$124.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	12	$142.00	$68.02
11042 Removal of skin and tissue, 20.0 sq cm or less	14	12	$258.00	$50.73

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	306	41	$148.00	$71.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	29	$148.00	$99.93
97597 Removal of tissue from wound, 20.0 sq cm or less	40	12	$151.00	$35.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	16	$142.00	$69.77
99213 Established patient office or other outpatient visit, typically 15 minutes	31	17	$99.00	$47.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	17	$244.00	$107.30
36415 Insertion of needle into vein for collection of blood sample	22	16	$8.00	$2.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$188.00	$132.24
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	17	13	$385.00	$143.12
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$293.00	$151.99
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$293.00	$196.56

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	202	36	$148.00	$69.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	45	$148.00	$101.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	51	18	$142.00	$68.92
99213 Established patient office or other outpatient visit, typically 15 minutes	33	21	$99.00	$48.39
99213 Established patient office or other outpatient visit, typically 15 minutes	32	21	$99.00	$69.68
97597 Removal of tissue from wound, 20.0 sq cm or less	25	11	$151.00	$23.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$184.00	$147.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	11	$244.00	$105.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	14	$188.00	$129.53
36415 Insertion of needle into vein for collection of blood sample	15	11	$8.00	$2.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$81.00	$42.01

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	146	37	$148.00	$74.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	38	$148.00	$101.56
99213 Established patient office or other outpatient visit, typically 15 minutes	75	31	$99.00	$48.68
99213 Established patient office or other outpatient visit, typically 15 minutes	44	32	$99.00	$68.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	12	$142.00	$69.14
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	33	32	$73.00	$20.68
93880 Ultrasound of both sides of head and neck blood flow	25	24	$76.00	$38.11
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	25	11	$385.00	$136.08
11042 Removal of skin and tissue, 20.0 sq cm or less	22	15	$258.00	$51.90
36415 Insertion of needle into vein for collection of blood sample	20	16	$8.00	$2.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	13	$244.00	$105.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	16	$188.00	$129.45
93970 Ultrasound study of arm or leg veins with compression and maneuvers	18	18	$114.00	$32.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$244.00	$136.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$184.00	$122.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$184.00	$154.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$81.00	$41.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	131	49	$94.28	$68.77
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	131	126	$45.55	$20.47
93880 Ultrasound of both sides of head and neck blood flow	128	126	$79.72	$36.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	45	$143.59	$101.33
93970 Ultrasound study of arm or leg veins with compression and maneuvers	77	75	$67.25	$32.09
99213 Established patient office or other outpatient visit, typically 15 minutes	48	20	$97.25	$48.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	17	$146.67	$74.87
93925 Ultrasound of leg arteries or artery grafts	32	31	$75.00	$34.13
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	30	30	$93.53	$51.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	12	$135.74	$68.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$308.29	$192.96
36415 Insertion of needle into vein for collection of blood sample	12	11	$8.00	$2.94

Medical Specialties & State Licenses

CMS Verified: 2025-03-25

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IN 01022367A

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Ptan

544310A (IN)

Hospital & Practice Group Affiliations

Monroe Medical Group Inc

3209 W Reddy Way, Bloomington, IN 474034089

Monroe Medical Group Inc

421 S Landmark Ave, Bloomington, IN 474035003

Phone: 8126763000

Monroe Medical Group Inc

4011 S Monroe Medical Park Blvd, Bloomington, IN 474038000

Phone: 8128251111

Monroe Medical Group Inc

3211 W Reddy Way, Bloomington, IN 474034066

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location March 25, 2025

Registered at 3201 W REDDY WAY, BLOOMINGTON, IN 474034066 (Tel: 8128250756)

✅

NPI Profile Active February 19, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 19, 2016

Registered at 1419 S SARE RD, BLOOMINGTON, IN 474014431 (Tel: 3123888676)

📍

Updated Business Mailing Address February 19, 2016

Registered at 1419 S SARE RD, BLOOMINGTON, IN 474014431 (Tel: 3123888676)

👤

Provider Name / Credentials Updated February 19, 2016

Recorded as JAMES TOPOLGUS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2016

Surgery (License #01022367A in IN)

🟢

Initial NPI Registration & Enumeration June 30, 2005

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: 1508863945

Entity Type:

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

Enumeration Date: June 30, 2005

Last Update: March 25, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1419 S Sare Rd

Bloomington, IN 474014431

Phone: 3123888676

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.