DR. COURTNAY WILLCOX BLOOMER (M.D.) – Neuroradiology Physician, NPI 1093764565
Neuroradiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,793 DIAGNOSTIC RADIOLOGY in CA
Provider Addresses for DR. COURTNAY WILLCOX BLOOMER (M.D.)
2125 OAK GROVE RD STE 200
WALNUT CREEK, CA 945982520
Phone: (925) 296-7150
Fax: (925) 296-7171
Type: Mailing
1331, North Elm Street, McAdoo Heights, Greensboro, Guilford County, North Carolina, 27401, United States
SUITE 200
GREENSBORO, NC 274016304
Phone: (336) 274-9617
Fax: (336) 482-2177
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-10-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090522000127 | I | Diagnostic Radiology | CA | TBD |
| I20140729001165 | I | Diagnostic Radiology | NC | TBD |
| I20141028003075 | I | Diagnostic Radiology | HI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| A9585 | Injection, gadobutrol, 0.1 ml | 8,380 | 105 | $0 |
| 71045 | X-ray of chest, 1 view | 869 | 843 | $0 |
| 70450 | Ct scan head or brain without contrast | 529 | 523 | $0 |
| 70551 | Mri scan of brain without contrast | 441 | 363 | $0 |
| 70553 | Mri scan of brain before and after contrast | 290 | 202 | $0 |
Insurance plans in this area (ZIP 94598)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Nuclear Medicine | CA | |
| - | CA | |
| - | CA | |
| Diagnostic Radiology | NC | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology, Interventional Radiology, Diagnostic Radiology | CA | |
| Diagnostic Radiology, Pediatric Medicine | CA | |
| Diagnostic Radiology | VA |
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