MR. DAVID CHARLES BLOOM MD
NPI 1215996038
Otolaryngology in Vancouver, WA
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 Legacy Good Samaritan Medical Center, and maintains a secondary practice location in Vancouver.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
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.
Medicare Billing Reassignment
Medicare enrollment records show David Bloom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vancouver, WA 98664
- Reassigned Medicare billing, Washington enrollment
- 711 clinicians in this Medicare group
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 7
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Legacy Good Samaritan Medical Center
Acute Care Hospitals · Portland, ORPeacehealth Southwest Medical Center
Acute Care Hospitals · Vancouver, WALegacy Salmon Creek Medical Center
Acute Care Hospitals · Vancouver, WAPhysician 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.
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.
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 David Bloom's NPI number?
The NPI number for David Bloom is 1215996038. It was assigned to this individual provider in the NPPES registry on March 21, 2006.
Where is David Bloom located?
David Bloom practices at 2621 NE 134th St Ste 300, Vancouver, WA 98686. The listed phone number is (360) 882-2778.
What is David Bloom's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is David Bloom enrolled in Medicare?
Yes. David 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 David Bloom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Bloom reassigns Medicare benefits to The Vancouver Clinic Inc Ps (Vancouver, WA). 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 David Bloom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does David Bloom accept?
Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list David 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 David Bloom affiliated with any hospitals?
According to CMS data, David Bloom is affiliated with Legacy Good Samaritan Medical Center, Peacehealth Southwest Medical Center and Legacy Salmon Creek Medical Center.
When was this NPI record last updated?
The NPPES record for David Bloom was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mr. David Charles Bloom, MD · NPI 1215996038
Otolaryngology physician in Vancouver, Washington. Individual provider, active in the CMS NPPES registry since March 21, 2006.
## Identity
- **NPI:** 1215996038 (Entity type: Individual)
- **Enumerated:** March 21, 2006
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** MD00042152 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 2621 NE 134TH ST STE 300, Vancouver, WA 98686-3036
- **Phone:** (360) 882-2778
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Vancouver Clinic Inc Ps (NPI 1992759427, Vancouver, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Mayo Medical School, class of 1994
## Record status
- **NPPES last updated:** March 29, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1215996038) · Data from the CMS NPPES public registry.