MR. MICHAEL SCOTT BLOOM (M.D.) – Pediatric Ophthalmology and Strabismus Specialist Physician, NPI 1639128689

MR. MICHAEL SCOTT BLOOM (M.D.) is a healthcare provider. based in Dayton, Ohio. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 207W00000X (OH). The NPI Number for MR. MICHAEL SCOTT BLOOM (M.D.) is 1639128689

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
MR. MICHAEL SCOTT BLOOM (M.D.)
NPI
1639128689
Phone
(937) 723-7772
Address
1 CHILDRENS PLZ
Enumeration Date
8 May 2006
Last Update Date
28 October 2021

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7659622020
Graduation Year
1992 (34 years ago)
PAC ID
2062483837
Group Practice PAC ID
6608914072
Professional Enrollment ID
I20040804001160
Address ID
IN473741213RI1900XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

841 OPHTHALMOLOGY in OH

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Provider Addresses for MR. MICHAEL SCOTT BLOOM (M.D.)

  • Dayton Children’s Hospital, 1, Childrens Plaza, Dayton, Montgomery County, Ohio, 45404, United States

    DAYTON, OH 454041873

    Phone: (937) 723-7772

    Fax: (937) 226-9605

    Type: Mailing

  • 1020 WOODMAN DR STE 105

    DAYTON, OH 454321446

    Phone: (937) 723-7772

    Fax: (937) 226-9605

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 86 Open Payments records for all available years, with a total value of $3,676.

Total Amount is formed as General ($3,676) + Research ($0) + Ownership ($0) = $3,676.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Alcon Vision LLC ($779).

Total Amount

$3,676

General + Research + Ownership

Payments

86

Total payment records

General Amount

$3,676

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2012-01-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040804001160IOphthalmologyINTBD
I20120120000364IOphthalmologyOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes12296$0
99214Established patient office or other outpatient visit, 30-39 minutes8581$0
99204New patient office or other outpatient visit, 45-59 minutes7171$0
92060Exam to measure eye deviation and range of motion5847$0
92134Imaging of retina4141$0
View full utilization report →

Insurance plans in this area (ZIP 45404)

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Provider's Procedures

MR. MICHAEL SCOTT BLOOM (M.D.) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYOH92083Measurement of field of vision during daylight conditions2120
OPHTHALMOLOGYOH92134Diagnostic imaging of retina1515

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608914072View full group profile
NameSpecialtyState
O P H T H A L M O L O G YIN
O P H T H A L M O L O G YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P H T H A L M O L O G YIN
O P H T H A L M O L O G YIN
O P T O M E T R YIN

Reviews

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Frequently asked questions

What identifier follows MR. MICHAEL SCOTT BLOOM (M.D.) across health systems?
The NPI 1639128689 uniquely identifies MR. MICHAEL SCOTT BLOOM (M.D.) in U.S. healthcare data.
Does the public listing show MR. MICHAEL SCOTT BLOOM (M.D.) as active?
MR. MICHAEL SCOTT BLOOM (M.D.)'s NPI record reflects an active status in NPPES.
What does the directory say MR. MICHAEL SCOTT BLOOM (M.D.) does?
Insurance directories may phrase it differently, but here MR. MICHAEL SCOTT BLOOM (M.D.) maps to Pediatric Ophthalmology and Strabismus Specialist Physician. Clinical services aligned with this taxonomy classification.
What city is tied to MR. MICHAEL SCOTT BLOOM (M.D.)?
The directory associates MR. MICHAEL SCOTT BLOOM (M.D.) with Dayton, Ohio. Check all listed addresses for suites or satellite offices.
Who maintains MR. MICHAEL SCOTT BLOOM (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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