DR. HERMAN BLOMEIER M.D. NPI 1003011800
Internal Medicine - Endocrinology, Diabetes & Metabolism in Skokie, IL
About DR. HERMAN BLOMEIER M.D.
Herman Blomeier is an internist established in Skokie, Illinois and his medical specialization is Internal Medicine with a focus in endocrinology, diabetes & metabolism with more than 22 years of experience. He graduated from Jefferson Medical College Of Thomas Jefferson University in 2001. The NPI number of this provider is 1003011800 and was assigned on June 2007. The practitioner's primary taxonomy code is 207RE0101X with license number 36111253 (IL). The provider is registered as an individual and his NPI record was last updated 2 years ago.
| NPI | 1003011800 |
| Provider Name | DR. HERMAN BLOMEIER M.D. |
| Location Address | 9977 WOODS DR SKOKIE, IL 60077 |
| Location Phone | (847) 663-8540 |
| Mailing Address | 9977 WOODS DR SKOKIE, IL 60077 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 2001 |
| Is Sole Proprietor? | No |
| Enumeration Date | 06-20-2007 |
| Last Update Date | 02-10-2021 |
An internist like Herman Blomeier is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Herman Blomeier is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Herman Blomeier is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Northshore University Healthsystem - Evanston Hospital.
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 96.22, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The typical physician office visit costs for Medicare beneficiaries in this area are: $36.21 for a new patient copayment and $27.76 for an established patient copayment.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207RE0101X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Endocrinology, Diabetes & Metabolism |
| License No. | 36111253 |
| License State | IL |
| Taxonomy Description | An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
Business Address
9977 WOODS DR
SKOKIE, IL
ZIP 60077
Phone: (847) 663-8540
Fax: (847) 663-1015
Mailing Address
9977 WOODS DR
SKOKIE, IL
ZIP 60077
Phone: (847) 663-8540
Fax: (847) 663-1015
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 7810081627 |
| PECOS Enrollment ID | I20070924000329 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 60077 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $63 | $191.32 | $144.84 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $15.75 | $47.83 | $36.21 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $19.29 | $155.26 | $111.04 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.82 | $38.81 | $27.76 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 92.45 | |
|
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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| Promoting Interoperability (PI) | 25% | 100 | |
|
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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| Improvement Activities | 15% | 40 | |
|
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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| Cost | 20% | N/A | |
|
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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| MIPS Final Score | - | 96.22 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 65Ambulatory continuous glucose (sugar) including interpretation and report for a minimum of 72 hours (HCPCS:95251)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Herman Blomeier is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | 2650 RIDGE AVE EVANSTON, IL 60201 | (847) 432-8000 | Acute Care Hospitals | 140010 |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 1 | 1 | 8 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 2 | 8 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 1 + 2 + 8 + 0 + 24 = 40 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1003011800 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1235103888 | DR. NAVYASH GUPTA M.D. Individual | Surgery (Vascular Surgery) | 9977 WOODS DR SUITE 355 SKOKIE, IL 60077 (847) 663-8050 |
| 1780623405 | DR. WALT JOHN BAJGROWICZ M.D. Individual | Family Medicine (Adult Medicine) | 9977 WOODS DR SKOKIE, IL 60077 (847) 663-8420 |
| 1477589067 | PAULINE J SHIPLEY MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 9977 WOODS DR SKOKIE, IL 60077 (847) 663-8540 |
| 1548283708 | DEBRA LYN SCHLOSSBERG MD Individual | Obstetrics & Gynecology | 9977 WOODS DR 2ND FLOOR SKOKIE, IL 60077 (847) 663-8370 |
| 1598845695 | SHANNON M. EWING M.D. Individual | Dermatology | 9977 WOODS DR 3RD FLOOR SKOKIE, IL 60077 (847) 663-8060 |
| 1679648240 | MYRON H SINGER MD Individual | Pediatrics | 9977 WOODS DR 2ND FLOOR SKOKIE, IL 60077 (847) 663-8163 |
| 1083789127 | EDWARD B.J. WINSLOW MD Individual | Internal Medicine (Cardiovascular Disease) | 9977 WOODS DR 3RD FLOOR SKOKIE, IL 60077 (847) 663-8410 |
| 1992872485 | STEPHEN C DUCK MD Individual | Pediatrics (Pediatric Endocrinology) | 9977 WOODS DR 2ND FLOOR SKOKIE, IL 60077 (847) 663-8508 |
| 1285793059 | JOSE KOGAN MD Individual | Internal Medicine | 9977 WOODS DR 1ST FLOOR SKOKIE, IL 60077 (847) 663-8350 |
| 1104985977 | PAUL HELMAN MD Individual | Internal Medicine | 9977 WOODS DR 1ST FLOOR SKOKIE, IL 60077 (847) 663-8350 |
| 1811056682 | HERBERT H. LANG MD Individual | Internal Medicine | 9977 WOODS DR 1ST FLOOR SKOKIE, IL 60077 (847) 663-8420 |
| 1437216603 | LAURA MARIA KOLLER CDE Individual | Dietitian, Registered (Nutrition, Metabolic) | 9977 WOODS DR SKOKIE, IL 60077 (847) 663-8162 |
| 1265630305 | BARBARA A. BUTZEN CDE Individual | Nutritionist | 9977 WOODS DR 1ST FLOOR SKOKIE, IL 60077 (847) 663-8540 |
| 1205022290 | ELAINE TANEVA FEDDERSEN CDE Individual | Dietitian, Registered | 9977 WOODS DR ENH SPECIALITIES SUITE SKOKIE, IL 60077 (847) 663-8540 |
| 1316128192 | KATRINA LOUISE HERREJON MS, RD, LDN Individual | Nutritionist (Nutrition, Education) | 9977 WOODS DR 1ST FLOOR SKOKIE, IL 60077 (847) 663-8540 |
| 1831366814 | JULIA MARIE BYERLY PT Individual | Physical Therapist | 9977 WOODS DR SKOKIE, IL 60077 (847) 663-8126 |
| 1790932028 | DR. PRISCILLA ROCHE MUTHARASAN M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 9977 WOODS DR SUITE 120 SKOKIE, IL 60077 (847) 663-8540 |
| 1770806226 | MS. CAROL ANN DIPRIMA P.T., C.W.S. Individual | Physical Therapist | 9977 WOODS DR NORTHSHORE PHYSICAL THERAPY DEPT SKOKIE, IL 60077 (847) 663-8126 |
| 1508180498 | ALISON GILMORE Individual | Physical Therapist | 9977 WOODS DR SKOKIE, IL 60077 (847) 663-8126 |
| 1386968931 | MRS. SHERRY HAUPT DPT Individual | Physical Therapist | 9977 WOODS DR LOWER LEVEL SKOKIE, IL 60077 (847) 663-8126 |
Frequently Asked Questions
What is Dr. Herman Blomeier M.D. NPI number?
The NPI number assigned to this healthcare provider is 1003011800, registered as an "individual" on June 20, 2007
Where is Dr. Herman Blomeier M.D. located?
The provider is located at 9977 Woods Dr Skokie, Il 60077 and the phone number is (847) 663-8540
Which is Dr. Herman Blomeier M.D. specialty?
The provider's speciality is Internal Medicine with a focus in Endocrinology, Diabetes & Metabolism
How many years of experience does Dr. Herman Blomeier M.D. have?
The provider has more than 22 years of experience. He graduated from Jefferson Medical College Of Thomas Jefferson University in 2001.
Is Dr. Herman Blomeier M.D. registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What are Dr. Herman Blomeier M.D. Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.
How much is a visit to Dr. Herman Blomeier M.D.?
Medicare beneficiaries should expect a typical cost of $144.84 with an average copayment of $36.21 for new patient appointments. Established patients should expect a typical charge of $111.04 and an average copayment of 27.76. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Dr. Herman Blomeier M.D.?
The most common procedures or services performed by this practitioner are: Ambulatory continuous glucose (sugar) including interpretation and report for a minimum of 72 hours.
Is Dr. Herman Blomeier M.D. affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Dr. Herman Blomeier M.D. was last updated on June 20, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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