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STANLEY BLOOM MD
NPI 1003041377
Urology in Old Forge, NY

Active since May 15, 2009PECOS Enrolled
138 GOODELL RD, OLD FORGE, NY 13420(315) 369-2003 Get Directions Write a Review

NPPES record last updated: May 15, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stanley Bloom Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STANLEY BLOOM MD (NPI 1003041377) is an individual urology provider in Old Forge, New York, licensed in New York (099606-1) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003041377
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameSTANLEY BLOOMCredential: MD
Location Address138 GOODELL RDOld Forge, NY 13420
Mailing Address10760 North Green DrLake Worth, FL 33449 · (561) 432-2020
Phone(315) 369-2003
Sole ProprietorYes
Enumeration DateMay 15, 2009
✔ NPI 1003041377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in NY · 099606-1
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
138 GOODELL RD, Old Forge, NY 13420
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stanley Bloom Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13420 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stanley Bloom's NPI number?

The NPI number for Stanley Bloom is 1003041377. It was assigned to this individual provider in the NPPES registry on May 15, 2009.

Where is Stanley Bloom located?

Stanley Bloom practices at 138 Goodell Rd, Old Forge, NY 13420. The listed phone number is (315) 369-2003.

What is Stanley Bloom's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Stanley Bloom enrolled in Medicare?

Yes. Stanley Bloom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stanley Bloom was last updated on May 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.