ROGER EARL BLOOMER (MD) – Family Medicine Physician, NPI 1235196486
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
Provider Addresses for ROGER EARL BLOOMER (MD)
153 Wamplers Lake Rd
Brooklyn, MI 492309585
Phone: (517) 592-1963
Fax: (517) 592-1967
Type: Location
1 FORD PL STE 3A
DETROIT, MI 482023450
Phone: (313) 874-4806
Type: Mailing
Detroit Fire Department Headquarters, 250, West Larned Street, Detroit, Wayne County, Michigan, 48226, United States
PO BOX 67000
DETROIT, MI 482672728
Phone: (517) 841-6913
Fax: (517) 841-6917
Type: Mailing
2200 SPRINGPORT RD STE 500
JACKSON, MI 49202
Phone: (517) 205-3273
Fax: (517) 205-1698
Type: Location
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: 2004-03-25
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 |
|---|---|---|---|---|
| I20040325001323 | I | Family Practice | MI | 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 |
|---|---|---|---|---|
| 99183 | Management of oxygen chamber therapy | 360 | 11 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 276 | 52 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 125 | 35 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 37 | 13 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 26 | 11 | $0 |
Insurance plans in this area (ZIP 49230)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| U R O L O G Y | MI | |
| - | MI | |
| - | MI | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | MI | |
| - | MI | |
| Physician Assistant | OH | |
| - | MI | |
| - | MI | |
| - | MI |
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