1. Home
  2. Directory
  3. Massachusetts
  4. Shelburne Falls
  5. Family Medicine
  6. NPI Profile

DR. STEFAN A. TOPOLSKI M.D.
NPI 1518984087
Family Medicine in Shelburne Falls, MA

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
80.67/100
CMS Quality Rating
1105 MOHAWK TRL, SHELBURNE FALLS, MA 01370(413) 625-6240(413) 625-6290 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stefan A. Topolski M.d. NPPES

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

DR. STEFAN A. TOPOLSKI M.D. (NPI 1518984087) is an individual family medicine provider in Shelburne Falls, Massachusetts, licensed in Massachusetts (209410) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Cooley Dickinson Hospital Inc,the, and is a graduate of University Of Maryland School Of Medicine (1995).

NPPES Registry Identity

NPI1518984087
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. STEFAN A. TOPOLSKICredential: M.D.
Location Address1105 MOHAWK TRLShelburne Falls, MA 01370-9609
Mailing Address1183 Mohawk TrlShelburne Falls, MA 01370-9300 · (413) 625-6240 · Fax (413) 625-6290
Phone(413) 625-6240
Fax(413) 625-6290
Sole ProprietorYes
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1995
Enumeration DateJuly 17, 2006
Last NPPES UpdateMay 16, 2025
NPPES CertifiedMay 16, 2025
✔ NPI 1518984087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MA · 209410
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1105 MOHAWK TRL, Shelburne Falls, MA 01370
Open in Google Maps ↗

Other Identifiers 8

Other209410MA · Tufts
Other28439MA · Health New England
Other5997557MA · Ghi
Other711545MA · Harvard Pilgrim
OtherB105266-01MA · Cigna
Medicaid0144720MA
OtherJ23600MA · Bluecrossblueshield
Other21614MA · Bmc Healthnet

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Dr. Stefan A. Topolski M.d. 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 ID3971695453
PECOS Enrollment IDI20070829000060
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 4

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.
404 services148 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.
325 services126 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
63 services46 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Cooley Dickinson Hospital Inc,the

Acute Care Hospitals · Northampton, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220015
Location30 Locust StreetNorthampton, MA 01060 · Hampshire County
Emergency services Birthing friendly

Baystate Franklin Medical Center

Acute Care Hospitals · Greenfield, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220016
Location164 High StreetGreenfield, MA 01301 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01370 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

80.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality43.97
Promoting Interoperability84
Improvement Activities40
Cost88.28

Reported Quality Measures

Advance Care Plan
4%251 patients1/55-star benchmark: 100%
Breast Cancer Screening
32%151 patients2/55-star benchmark: 93%
Cervical Cancer Screening
19%182 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
24%33 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
19%387 patients1/55-star benchmark: 88%
Diabetes: Eye Exam
5%59 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
88%59 patients1/55-star benchmark: 91%
e-Prescribing
99%499 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
1%1,717 patients1/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
17%523 patients1/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 227 patients
Patients totalRate: 10% · 254 patients
13%254 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers20 claims61 services$4.72 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers11 claims11 services$191.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

CARING IN COMMUNITY, INC.
Family Medicine
1105 MOHAWK TRL
SHELBURNE FALLS, MA 01370
Franklin County (413) 625-6240

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 Stefan Topolski's NPI number?

The NPI number for Stefan Topolski is 1518984087. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Stefan Topolski located?

Stefan Topolski practices at 1105 Mohawk Trl, Shelburne Falls, MA 01370. The listed phone number is (413) 625-6240.

What is Stefan Topolski's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Stefan Topolski enrolled in Medicare?

Yes. Stefan Topolski 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.

What insurance does Stefan Topolski accept?

Health plans from Anthem Blue Cross and Blue Shield list Stefan Topolski 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 Stefan Topolski affiliated with any hospitals?

According to CMS data, Stefan Topolski is affiliated with Cooley Dickinson Hospital Inc,the and Baystate Franklin Medical Center.

When was this NPI record last updated?

The NPPES record for Stefan Topolski was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.