HEIDI TAYLOR BLOOM (MD) – Orthopaedic Hand Surgery Physician, NPI 1104814201

HEIDI TAYLOR BLOOM (MD) is a healthcare provider. based in Medford, Oregon. specializing in HAND SURGERY, ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. MD24000 (OR). The NPI Number for HEIDI TAYLOR BLOOM (MD) is 1104814201

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
HEIDI TAYLOR BLOOM (MD)
NPI
1104814201
Phone
(541) 779-6250
Address
2780 E BARNETT RD
Enumeration Date
12 October 2005
Last Update Date
5 October 2022

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
5417796250
Graduation Year
1995 (31 years ago)
PAC ID
4284539321
Group Practice PAC ID
1456256528
Professional Enrollment ID
I20051031000148
Address ID
OR975048674ME2780XRDXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

40 HAND SURGERY in OR

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Provider Addresses for HEIDI TAYLOR BLOOM (MD)

  • 2780, East Barnett Road, Medford, Jackson County, Oregon, 97504, United States

    STE 200

    MEDFORD, OR 975048343

    Phone: (541) 779-6250

    Fax: (541) 608-2535

    Type: Mailing

  • 2780 E BARNETT RD STE 200

    MEDFORD, OR 975048674

    Phone: (541) 779-6250

    Fax: (541) 608-2535

    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: 2005-10-31

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051031000148IHand SurgeryORTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg707105$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg408113$0
99213Established patient office or other outpatient visit, 20-29 minutes299208$0
73110X-ray of wrist, minimum of 3 views195127$0
20550Injection into tendon or ligament16198$0
View full utilization report →

Insurance plans in this area (ZIP 97504)

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Provider's Procedures

HEIDI TAYLOR BLOOM (MD) performs procedures in HAND SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
HAND SURGERYOR64721Release and/or relocation of median nerve of hand8471
HAND SURGERYOR73140X-ray of fingers, minimum of 2 views8960

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: 1456256528View full group profile
NameSpecialtyState
Orthopedic SurgeryTX
Physical Therapist In Private PracticeOR
Orthopedic SurgeryOR
Physician AssistantOR
Occupational Therapist In Private PracticeOR
Orthopedic Surgery, Hand SurgeryOR
-OR
Physician AssistantCA
Orthopedic SurgeryOR
Physician AssistantCA

Reviews

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Frequently asked questions

Does HEIDI TAYLOR BLOOM (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — HEIDI TAYLOR BLOOM (MD) uses 1104814201.
Is HEIDI TAYLOR BLOOM (MD) listed as active for patients and plans?
The listing shows HEIDI TAYLOR BLOOM (MD) as active in the NPI system.
What is HEIDI TAYLOR BLOOM (MD)'s primary classification?
Orthopaedic Hand Surgery Physician is the headline specialty for HEIDI TAYLOR BLOOM (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for HEIDI TAYLOR BLOOM (MD)?
HEIDI TAYLOR BLOOM (MD)'s geographic hint is Medford, Oregon in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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