RICHARD SETH BLOOMFELD MD
NPI 1194700534
Internal Medicine - Gastroenterology in Winston Salem, NC

Active since December 08, 2005PECOS EnrolledAccepts Medicare Assignment
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(336) 716-2255 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Richard Seth Bloomfeld Md NPPES

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

RICHARD SETH BLOOMFELD MD (NPI 1194700534) is an individual gastroenterology provider in Winston Salem, North Carolina, licensed in North Carolina (9600430) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and is a graduate of Washington University School Of Medicine (1990).

NPPES Registry Identity

NPI1194700534
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameRICHARD SETH BLOOMFELDCredential: MD
Location AddressMEDICAL CENTER BLVDWinston Salem, NC 27157-0001
Mailing AddressMedical Center BlvdWinston Salem, NC 27157-0001 · (336) 716-2255
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1990
Enumeration DateDecember 8, 2005
Last NPPES UpdateJuly 16, 2024
NPPES CertifiedJuly 16, 2024
NPI 1194700534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NC · 9600430
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

MEDICAL CENTER BLVD, Winston Salem, NC 27157

Other Identifiers 8

Medicaid2002312000WV
Other7616283Aetna
Other97765Medcost
Medicaid89126KJNC
Medicaid5850371VA
Other36475Partners
MedicaidQ0043HSC
Other126KJBcbs

Accepted 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

Richard Seth Bloomfeld 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 ID6406981679
PECOS Enrollment IDI20100315000179
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 5

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.

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.
96 services63 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
38 services38 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services21 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
18 services18 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27157 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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

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

Continent device, stoma absorptive cover for continent stoma A5083
DME-Orthotic Devices · category DF010N
1 supplier13 claims2,000 services$0.62 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 20

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

Anesthesiology
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Physician Assistant (Medical)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Physician Assistant (Medical)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Obstetrics & Gynecology
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Internal Medicine (Hematology & Oncology)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Hospitalist
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Internal Medicine (Nephrology)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157

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 Richard Bloomfeld's NPI number?

The NPI number for Richard Bloomfeld is 1194700534. It was assigned to this individual provider in the NPPES registry on December 8, 2005.

Where is Richard Bloomfeld located?

Richard Bloomfeld practices at Medical Center Blvd, Winston Salem, NC 27157. The listed phone number is (336) 716-2255.

What is Richard Bloomfeld's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Richard Bloomfeld enrolled in Medicare?

Yes. Richard Bloomfeld 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 Richard Bloomfeld accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Richard Bloomfeld 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 Richard Bloomfeld affiliated with any hospitals?

According to CMS data, Richard Bloomfeld is affiliated with North Carolina Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Richard Bloomfeld was last updated on July 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.