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BRIAN B BLOOM MD
NPI 1164403580
Internal Medicine in Stoughton, MA

Active since November 11, 2005PECOS EnrolledAccepts Medicare Assignment
150 YORK STREET, STOUGHTON, MA 02072(781) 297-6782(781) 297-1338 Get Directions Write a Review

NPPES record last updated: July 6, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brian B Bloom Md NPPES

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

BRIAN B BLOOM MD (NPI 1164403580) is an individual internal medicine provider in Stoughton, Massachusetts, licensed in Massachusetts (75268) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (1989).

NPPES Registry Identity

NPI1164403580
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBRIAN B BLOOMCredential: MD
Location Address150 YORK STREETStoughton, MA 02072-4827
Mailing Address150 York StreetStoughton, MA 02072-4827 · (781) 297-6782 · Fax (781) 297-1338
Phone(781) 297-6782
Fax(781) 297-1338
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1989
Enumeration DateNovember 11, 2005
Last NPPES UpdateJuly 6, 2011
✔ NPI 1164403580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 75268
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
150 YORK STREET, Stoughton, MA 02072
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Other Identifiers 3

Medicare UPINF49435
Medicare PINJ13449MA
Medicaid3105164MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian B Bloom Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406898154
PECOS Enrollment IDI20050524000364
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
321 services318 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
321 services318 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
289 services288 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
260 services182 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
104 services104 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
45 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02072 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers54 claims54 services$34.10 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers38 claims38 services$77.39 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers34 claims86 services$29.54 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers11 claims62 services$13.83 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers33 claims33 services$47.35 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers42 claims42 services$16.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDER C WHITE M.D.
Internal Medicine (Pulmonary Disease)
150 YORK STREET, NEW ENGLAND SINAI HOSPITAL
STOUGHTON, MA 02072
Norfolk County (781) 297-1335
MELISSA ANN FOX
Occupational Therapist
150 YORK STREET, TRANSITIONAL CARE UNIT
STOUGHTON, MA 02072
Norfolk County (781) 297-1477
NEW ENGLAND SINAI HOSPITAL, A STEWARD FAMILY HOSPITAL, INC.
Long Term Care Hospital
150 YORK STREET
STOUGHTON, MA 02072
Norfolk County (781) 297-1101

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 Brian Bloom's NPI number?

The NPI number for Brian Bloom is 1164403580. It was assigned to this individual provider in the NPPES registry on November 11, 2005.

Where is Brian Bloom located?

Brian Bloom practices at 150 York Street, Stoughton, MA 02072. The listed phone number is (781) 297-6782.

What is Brian Bloom's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Brian Bloom enrolled in Medicare?

Yes. Brian Bloom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brian Bloom accept?

Health plans from Anthem Blue Cross and Blue Shield list Brian Bloom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brian Bloom was last updated on July 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.