JOHANNES VICTOR BLOM (M.D.) – Adult Reconstructive Orthopaedic Surgery Physician, NPI 1184654519
Adult Reconstructive Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,916 ORTHOPEDIC SURGERY in FL
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Provider Addresses for JOHANNES VICTOR BLOM (M.D.)
3702, Washington Street, Hollywood, Broward County, Florida, 33021, United States
SUITE 202
HOLLYWOOD, FL 330218282
Phone: (954) 964-6114
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $117.
Total Amount is formed as General ($117) + Research ($0) + Ownership ($0) = $117.
Last reported payment date: 2024-06-24 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($54).
Total Amount
$117
General + Research + Ownership
Payments
5
Total payment records
General Amount
$117
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $54 |
| DJO, LLC | $26 |
| Smith+Nephew, Inc. | $19 |
| Amgen Inc. | $18 |
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: 2006-02-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20060215000602 | I | Orthopedic Surgery | FL | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 416 | 70 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 193 | 110 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 160 | 67 | $0 |
| 73564 | X-ray of knee, 4 or more views | 99 | 70 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 95 | 95 | $0 |
Insurance plans in this area (ZIP 33021)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | FL | 73110 | X-ray of wrist, minimum of 3 views | 43 | 19 |
| ORTHOPEDIC SURGERY | FL | 73630 | X-ray of foot, minimum of 3 views | 17 | 12 |
| ORTHOPEDIC SURGERY | FL | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 439 | 82 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Sports Medicine | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Orthopedic Surgery | FL |
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