DR. LAWRENCE BLOOM (M.D.) – Ophthalmology Physician, NPI 1780766436
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,144 OPHTHALMOLOGY in PA
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Provider Addresses for DR. LAWRENCE BLOOM (M.D.)
525, Jamestown Street, Manayunk, Philadelphia, Philadelphia County, Pennsylvania, 19128, United States
STE. 207
PHILADELPHIA, PA 191281751
Phone: (215) 483-8444
Fax: (215) 482-8456
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $216.
Total Amount is formed as General ($216) + Research ($0) + Ownership ($0) = $216.
Last reported payment date: 2023-09-12 • Largest payer in this snapshot: IDORSIA PHARMACEUTICALS US INC ($112).
Total Amount
$216
General + Research + Ownership
Payments
2
Total payment records
General Amount
$216
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| IDORSIA PHARMACEUTICALS US INC | $112 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $104 |
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: 2011-12-27
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 |
|---|---|---|---|---|
| I20111227000250 | I | Ophthalmology | PA | 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 19128)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| - | NJ | |
| Ophthalmology, Optometry | PA | |
| O P H T H A L M O L O G Y | PA | |
| O P T O M E T R Y | PA |
Reviews
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