Active NPI 1396708566 Individual Practitioner Male Practitioner

Dr. James Todd Bergin , MD

Surgery • Salem, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Bergin, MD is a certified Surgery practicing in Salem, KY. With approximately 31 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 1995, Dr. Bergin delivers high-quality medical care to the local community at 141 HOSPITAL DR.

Dr. Bergin is affiliated with Taylor Regional Medical Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, biopsy of large bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

141 Hospital Dr

Salem, KY 420788043

Telephone 2709883298

Fax 2709884642

Associated Practice Facility / Clinic

🏢 Tri-Rivers Healthcare Pllc Facility NPI 1588644496

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Salem, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs -2.0 yrs vs City Avg

City Avg: 33.0 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

2 Specialists

Practicing in Salem, KY (495 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

37.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bergin (31 Years) 31 Yrs

Salem Specialty Average (33.0 Years) 33.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	110	89	$76.45	$61.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	84	61	$38.00	$32.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$113.89	$76.78
99213 Established patient office or other outpatient visit, typically 15 minutes	53	46	$75.00	$61.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	37	$41.00	$32.93
45380 Biopsy of large bowel using an endoscope	46	46	$297.00	$184.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$115.82	$76.75
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	27	$204.00	$101.42
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$377.00	$234.01
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$275.00	$169.42
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$274.00	$145.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	119	79	$85.69	$62.20
99213 Established patient office or other outpatient visit, typically 15 minutes	60	51	$77.65	$62.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	49	$117.74	$91.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$117.24	$78.25
45380 Biopsy of large bowel using an endoscope	51	51	$297.00	$186.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$114.70	$78.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	25	$115.00	$92.05
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	24	$204.00	$90.86
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	18	18	$274.00	$170.84
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$498.00	$310.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	138	105	$41.46	$34.56
99213 Established patient office or other outpatient visit, typically 15 minutes	123	98	$77.59	$63.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	80	56	$39.99	$34.54
45380 Biopsy of large bowel using an endoscope	68	66	$297.00	$188.42
99213 Established patient office or other outpatient visit, typically 15 minutes	46	38	$78.46	$63.66
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	45	44	$204.00	$87.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	38	$115.00	$94.12
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$74.00	$46.89
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	21	21	$274.00	$166.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$115.00	$93.98
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	12	$58.00	$36.53
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$498.00	$316.41
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$274.00	$165.61
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$275.00	$174.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$111.00	$79.73
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$74.00	$46.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	105	79	$94.62	$85.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	101	88	$61.51	$51.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	87	$122.82	$119.97
45380 Biopsy of large bowel using an endoscope	52	52	$1023.12	$190.27
99202 New patient office or other outpatient visit, typically 20 minutes	49	49	$116.00	$68.40
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	48	48	$718.92	$99.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	31	$116.25	$95.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	27	$38.00	$34.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$141.86	$105.03
99213 Established patient office or other outpatient visit, typically 15 minutes	25	25	$75.80	$64.92
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	16	16	$716.50	$178.04
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$87.40	$47.48
45381 Injection beneath lining of large bowel using a flexible endoscope	12	12	$756.67	$193.04
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$687.00	$159.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	139	105	$95.00	$70.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	95	75	$63.00	$42.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	86	$123.00	$102.24
99202 New patient office or other outpatient visit, typically 20 minutes	43	43	$116.00	$71.27
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	36	34	$872.00	$98.11
45380 Biopsy of large bowel using an endoscope	26	26	$1196.00	$197.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$143.00	$101.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	14	$113.00	$70.36
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$982.00	$182.18
11104 Punch biopsy, first skin growth	13	11	$122.00	$111.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	152	130	$63.00	$41.27
99213 Established patient office or other outpatient visit, typically 15 minutes	127	95	$95.00	$69.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	95	$123.00	$99.54
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	59	58	$872.00	$89.31
99202 New patient office or other outpatient visit, typically 20 minutes	49	49	$116.00	$71.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$143.00	$101.07
45380 Biopsy of large bowel using an endoscope	40	39	$1196.00	$193.59
45378 Diagnostic exam of large bowel using a flexible endoscope	19	19	$982.00	$177.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	11	$113.00	$69.68
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$1355.00	$250.62
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	14	14	$982.00	$180.68
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$3496.00	$326.58
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$982.00	$174.01
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$95.00	$48.91
11104 Punch biopsy, first skin growth	11	11	$122.00	$97.71
99201 New patient office or other outpatient visit, typically 10 minutes	11	11	$94.00	$42.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	178	138	$63.00	$38.63
99213 Established patient office or other outpatient visit, typically 15 minutes	140	102	$95.00	$64.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	85	$123.00	$96.07
99202 New patient office or other outpatient visit, typically 20 minutes	72	72	$116.00	$66.61
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	54	53	$872.00	$99.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$143.00	$95.27
45380 Biopsy of large bowel using an endoscope	41	39	$1196.00	$186.22
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	20	$83.00	$35.85
45378 Diagnostic exam of large bowel using a flexible endoscope	22	22	$982.00	$167.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	15	$113.00	$66.46
11100 Biopsy of single growth of skin and/or tissue	17	16	$215.00	$83.92
99201 New patient office or other outpatient visit, typically 10 minutes	14	14	$94.00	$39.40
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$982.00	$166.07
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$982.00	$171.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	192	149	$63.00	$38.85
99213 Established patient office or other outpatient visit, typically 15 minutes	165	125	$95.00	$65.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	97	$123.00	$96.61
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	60	60	$872.00	$93.45
99202 New patient office or other outpatient visit, typically 20 minutes	58	58	$116.00	$67.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$143.00	$97.28
45380 Biopsy of large bowel using an endoscope	42	42	$1196.00	$183.83
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	18	$83.00	$33.86
45378 Diagnostic exam of large bowel using a flexible endoscope	26	26	$982.00	$162.40
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$179.00	$89.05
99201 New patient office or other outpatient visit, typically 10 minutes	17	17	$94.00	$37.62
11100 Biopsy of single growth of skin and/or tissue	16	15	$215.00	$91.50
99218 Hospital observation care typically 30 minutes	15	15	$158.00	$92.25
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$3496.00	$317.32
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$982.00	$173.46
10060 Simple or single drainage of skin abscess	12	11	$250.00	$105.33

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY 35724

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.

Specialist

NUCC Taxonomy Code: 174400000X

State License KY 35724

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

General Practice

NUCC Taxonomy Code: 208D00000X

State License KY 35724

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64016157 (KY)

Commercial Insurance / Payer ID Anthem Blue Cross & Blue Shield

000000797438 (KY)

Hospital & Practice Group Affiliations

Taylor Regional Medical Group Llc

3066 Campbellsville Rd, Columbia, KY 427289511

Phone: 2704653395

Taylor Regional Medical Group Llc

1698 Old Lebanon Rd, Campbellsville, KY 427189662

Taylor Regional Medical Group Llc

1700 Old Lebanon Rd, Campbellsville, KY 427189662

Phone: 2707896116

Practice Associates & Co-Workers

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

11 Associated Practitioners

Jennifer Alexander , APRN, PMHMP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1144933235

Advanced Practice Registered Nurse, PMHMPBC

Dr. William Barnes , MD

General Practice

NPI 1215985148

Doctor of Medicine (M.D.)

Robert Wilkinson , APRN

Nurse Practitioner

NPI 1457378044

Advanced Practice Registered Nurse

Dr. Ghassan Yazigi , MD

Internal Medicine

NPI 1538127378

Doctor of Medicine (M.D.)

Justin Lewis , PA-C

Physician Assistant

NPI 1538696356

Physician Assistant (Certified)

Kristee Shoulders , APRN

Nurse Practitioner - Family

NPI 1558784769

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 10, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 10, 2013

Registered at 141 HOSPITAL DR, SALEM, KY 420788043 (Tel: 2709883298)

📍

Updated Business Mailing Address January 10, 2013

Registered at PO BOX 347, SALEM, KY 420780347 (Tel: 2709883298)

👤

Provider Name / Credentials Updated January 10, 2013

Recorded as JAMES BERGIN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2013

Specialist (License #35724 in KY)

🟢

Initial NPI Registration & Enumeration April 10, 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: 1396708566

Entity Type:

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

Enumeration Date: April 10, 2006

Last Update: January 10, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 347

Salem, KY 420780347

Phone: 2709883298

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.