JEFFREY BLOOM (DO) – Retina Specialist (Ophthalmology) Physician, NPI 1194286773
Retina Specialist (Ophthalmology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
841 OPHTHALMOLOGY in OH
Provider Addresses for JEFFREY BLOOM (DO)
405 W GRAND AVE
DAYTON, OH 454057538
Phone: (937) 723-3248
Type: Mailing
100 E California Blvd
Pasadena, CA 911053205
Phone: (800) 898-2020
Type: Location
405 W Grand Ave
Dayton, OH 454057538
Phone: (937) 723-3248
Type: Location
288 N Santa Anita Ave Ste 403
Arcadia, CA 910063183
Phone: (800) 898-2020
Type: Location
1020 Woodman Dr Ste 105
Dayton, OH 454321410
Phone: (937) 723-3248
Type: Location
3, 10th Avenue, Mineola, North Hempstead, Nassau County, New York, 11501, United States
NEW YORK, NY 100191147
Phone:
Type: Mailing
1020 WOODMAN DR STE 105
DAYTON, OH 454321410
Phone: (937) 723-3248
Type: Mailing
6683 CENTERVILLE BUSINESS PKWY
DAYTON, OH 454592655
Phone: (937) 723-7772
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $2,336.
Total Amount is formed as General ($2,336) + Research ($0) + Ownership ($0) = $2,336.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Alcon Vision LLC ($1,230).
Total Amount
$2,336
General + Research + Ownership
Payments
29
Total payment records
General Amount
$2,336
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $1,230 |
| Alimera Sciences, Inc. | $247 |
| Amgen Inc. | $183 |
| Horizon Therapeutics plc | $179 |
| Johnson & Johnson Surgical Vision, Inc. | $167 |
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: 2025-09-18
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 |
|---|---|---|---|---|
| I20230719002280 | I | Ophthalmology | CA | TBD |
| I20250918002675 | I | Ophthalmology | OH | 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 |
|---|---|---|---|---|
| 92134 | Imaging of retina | 105 | 92 | $0 |
| 92014 | Established patient complete exam of visual system | 56 | 54 | $0 |
| 67028 | Injection of drug into eye | 28 | 22 | $0 |
| 92235 | Exam of retinal blood vessels using a special camera after injection of a dye | 27 | 27 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 25 | 23 | $0 |
Insurance plans in this area (ZIP 45405)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | TX | |
| O P H T H A L M O L O G Y | OH |
Reviews
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