MR. DAVID CHARLES BLOOM (MD) – Otolaryngology Physician, NPI 1215996038
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
94 ALLERGY/IMMUNOLOGY in WA
Provider Addresses for MR. DAVID CHARLES BLOOM (MD)
2121 NE 139TH STREET SUITE 245
VANCOUVER, WA 98686
Phone: (360) 326-3966
Fax: (360) 859-3807
Type: Mailing
2121 NE 139th Street, Suite 245
Vancouver, WA 98686
Phone: (360) 326-3966
Fax: (360) 859-3807
Type: Location
PO BOX 4825
PORTLAND, OR 972084825
Phone: (360) 882-2778
Type: Mailing
2621 NE 134TH ST STE 300
VANCOUVER, WA 986863036
Phone: (360) 882-2778
Type: Location
2121 NE 139TH STREET, SUITE 245
VANCOUVER, WA 98686
Phone: (360) 326-3966
Fax: (360) 859-3807
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $108.
Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.
Last reported payment date: 2023-11-09 • Largest payer in this snapshot: Medtronic, Inc. ($77).
Total Amount
$108
General + Research + Ownership
Payments
3
Total payment records
General Amount
$108
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $77 |
| GENZYME CORPORATION | $30 |
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: 2005-04-06
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 |
|---|---|---|---|---|
| I20050406001260 | I | Otolaryngology | WA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 60 | 47 | $0 |
| 69210 | Removal of impacted ear wax | 55 | 46 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 49 | 49 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 40 | 40 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 26 | 26 | $0 |
Insurance plans in this area (ZIP 98686)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TN | |
| Internal Medicine, Infectious Disease | PA | |
| Internal Medicine | WA | |
| Diagnostic Radiology | OR | |
| Internal Medicine | OR | |
| O P H T H A L M O L O G Y | IA | |
| - | OR | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | CA |
Reviews
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