MR. DAVID CHARLES BLOOM MD
NPI 1215996038
Otolaryngology in Vancouver, WA

Active since March 21, 2006PECOS EnrolledAccepts Medicare Assignment
2621 NE 134TH ST STE 300, VANCOUVER, WA 98686(360) 882-2778 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 29, 2023, May 2, 2018 (2 updates tracked since 2018).

About Mr. David Charles Bloom Md NPPES

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

MR. DAVID CHARLES BLOOM MD (NPI 1215996038) is an individual otolaryngology provider in Vancouver, Washington, licensed in Washington (MD00042152) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Peacehealth Southwest Medical Center, and maintains a secondary practice location in Vancouver.

NPPES Registry Identity

NPI1215996038
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameMR. DAVID CHARLES BLOOMCredential: MD
Location Address2621 NE 134TH ST STE 300Vancouver, WA 98686-3036
Mailing AddressPo Box 4825Portland, OR 97208-4825 · (360) 882-2778
Sole ProprietorNo
Medical School CMSMayo Medical SchoolGraduated 1994
Enumeration DateMarch 21, 2006
Last NPPES UpdateMarch 29, 20232 updates tracked since enumeration
NPPES CertifiedMarch 29, 2023
NPI 1215996038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in WA · MD00042152
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

2621 NE 134TH ST STE 300, Vancouver, WA 98686

Secondary Practice Location 1

Location 12121 NE 139th Street, Suite 245Vancouver, WA 98686 · Phone (360) 326-3966 · Fax (360) 859-3807

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

Mr. David Charles 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 ID2466409875
PECOS Enrollment IDI20050406001260
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 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
80 services56 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
62 services42 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
38 services38 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.
32 services28 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
29 services28 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.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Peacehealth Southwest Medical Center

Acute Care Hospitals · Vancouver, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500050
Location400 NE Mother Joseph PlaceVancouver, WA 98668 · Clark County
Emergency services Birthing friendly

Legacy Salmon Creek Medical Center

Acute Care Hospitals · Vancouver, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500150
Location2211 NE 139th StreetVancouver, WA 98686 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98686 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

Other Providers at the Same Location NPPES 6

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

Dental Hygienist
2621 NE 134TH ST STE 300
VANCOUVER, WA 98686
Dentist (General Practice)
2621 NE 134TH ST STE 300
VANCOUVER, WA 98686
Otolaryngology
2621 NE 134TH ST STE 300
VANCOUVER, WA 98686
Audiologist
2621 NE 134TH ST STE 300
VANCOUVER, WA 98686
Audiologist
2621 NE 134TH ST STE 300
VANCOUVER, WA 98686
Otolaryngology
2621 NE 134TH ST STE 300
VANCOUVER, WA 98686

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215996038, enumerated as an "individual" on March 21, 2006.

The provider is located at 2621 NE 134TH ST STE 300 VANCOUVER, WA 98686 and the phone number is (360) 882-2778.

Otolaryngology with taxonomy code 207Y00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.

David Bloom is affiliated with: PEACEHEALTH SOUTHWEST MEDICAL CENTER and LEGACY SALMON CREEK MEDICAL CENTER.