DR. DOAN TAM BLOOMQUIST (M.D) – Ophthalmology Physician, NPI 1700178308
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
570 OPHTHALMOLOGY in GA
Provider Addresses for DR. DOAN TAM BLOOMQUIST (M.D)
1499 WALTON WAY 1400
AUGUSTA, GA 309012603
Phone: (706) 446-5941
Type: Mailing
1120 15TH ST
AUGUSTA, GA 309126440
Phone: (404) 625-8732
Type: Location
3685 Wheeler Rd Ste 201
Augusta, GA 309096440
Phone: (706) 650-0061
Type: Location
950 15TH ST
AUGUSTA, GA 309012608
Phone: (706) 733-0188
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: 2017-12-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20151024000094 | I | Ophthalmology | GA | TBD |
| I20171211002300 | I | Ophthalmology | SC | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30901)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | GA | |
| O P H T H A L M O L O G Y | WA |
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