JEFFREY BLOOM DO
NPI 1194286773
Ophthalmology - Retina Specialist in Dayton, OH

Q: What is Jeffrey Bloom's NPI number?

The NPI number for Jeffrey Bloom is 1194286773. It was assigned to this individual provider in the NPPES registry on March 27, 2019.

Q: What is Jeffrey Bloom's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Bloom was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since March 27, 2019PECOS EnrolledAccepts Medicare Assignment

6683 CENTERVILLE BUSINESS PKWY, DAYTON, OH 45459(937) 723-7772 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 9, 2026, Jul 3, 2023, Apr 13, 2023 and 1 more (4 updates tracked since 2021).

On this page

About Jeffrey Bloom Do NPPES

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

JEFFREY BLOOM DO (NPI 1194286773) is an individual retina specialist in Dayton, Ohio, licensed in Ohio (34.017533) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Dayton, and maintains a secondary practice location in Dayton.

NPPES Registry Identity

NPI1194286773

Entity TypeIndividualMale

Primary Taxonomy207WX0107X

Provider Legal NameJEFFREY BLOOMCredential: DO

Location Address6683 CENTERVILLE BUSINESS PKWYDayton, OH 45459-2655

Mailing Address1020 Woodman Dr Ste 105Dayton, OH 45432-1410 · (937) 723-3248

Phone(937) 723-7772

Sole ProprietorNo

Medical School CMSAlabama College Of Osteopathic MedicineGraduated 2019

Enumeration DateMarch 27, 2019

Last NPPES UpdateApril 9, 20264 updates tracked since enumeration

NPPES CertifiedApril 9, 2026

✔ NPI 1194286773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

License✔ Licensed in OH · 34.017533

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Also ListedOphthalmologyTaxonomy 207W00000X · License 20A21241 (CA)

6683 CENTERVILLE BUSINESS PKWY, Dayton, OH 45459

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Secondary Practice Location 1

Location 11020 Woodman Dr Ste 105Dayton, OH 45432-1410 · Phone (937) 723-3248

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeffrey Bloom Do 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 ID9335479963

PECOS Enrollment IDI20250918002675

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.

Medicare Billing Reassignment

Medicare enrollment records show Jeffrey Bloom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bloom Family Eye Surgeons Ltd

8.8 mi

Pediatric Ophthalmology and Strabismus Specialist

1 CHILDRENS PLZ
Dayton, OH 45404

Reassigned Medicare billing, Ohio enrollment
8 clinicians in this Medicare group

NPI 1649342890 (937) 641-3020

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

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.

Injection, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

3,600 services14 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

1,247 services623 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

762 services500 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

425 services127 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

305 services248 patients

Injection, ranibizumab, 0.1 mg J2778

Ranibizumab is a medication given via injection to treat certain eye conditions like age-related macular degeneration. It works by slowing vision loss and in some cases, improving vision by blocking abnormal blood vessel growth in the eye.

269 services16 patients

Compounded drug, not otherwise classified J7999

A compounded drug is a personalized medication created to meet unique patient needs. If you can't take standard drugs due to allergies or need a specific dosage not commercially available, a pharmacist can mix ingredients to make a drug specifically for you.

190 services73 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

113 services111 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

87 services87 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

78 services20 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.

27 services27 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

19 services16 patients

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

17 services13 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360133

Location405 Grand AvenueDayton, OH 45405 · Montgomery County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45459 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 Jeffrey Bloom's NPI number?

The NPI number for Jeffrey Bloom is 1194286773. It was assigned to this individual provider in the NPPES registry on March 27, 2019.

Where is Jeffrey Bloom located?

Jeffrey Bloom practices at 6683 Centerville Business Pkwy, Dayton, OH 45459. The listed phone number is (937) 723-7772.

What is Jeffrey Bloom's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Jeffrey Bloom enrolled in Medicare?

Yes. Jeffrey 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.

Which organization bills Medicare for Jeffrey Bloom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Bloom reassigns Medicare benefits to Bloom Family Eye Surgeons Ltd (Dayton, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Bloom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Bloom accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 1 other insurer list Jeffrey 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.

Is Jeffrey Bloom affiliated with any hospitals?

According to CMS data, Jeffrey Bloom is affiliated with Kettering Health Dayton.

When was this NPI record last updated?

The NPPES record for Jeffrey Bloom was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.