GERALD S BLOOMFIELD JR. M.D.
NPI 1225094907
Internal Medicine - Cardiovascular Disease in Durham, NC

Active since April 22, 2006PECOS EnrolledAccepts Medicare Assignment
3643 N ROXBORO ST, DURHAM, NC 27704(919) 470-8490 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gerald S Bloomfield Jr. M.d. NPPES

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

GERALD S BLOOMFIELD JR. M.D. (NPI 1225094907) is an individual cardiovascular disease provider in Durham, North Carolina, licensed in North Carolina (2007-00747) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Johns Hopkins University School Of Medicine (2002).

NPPES Registry Identity

NPI1225094907
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameGERALD S BLOOMFIELD JR.Credential: M.D.
Location Address3643 N ROXBORO STDurham, NC 27704-2702
Mailing Address40 Duke Medicine CirDurham, NC 27710-4000
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2002
Enumeration DateApril 22, 2006
Last NPPES UpdateJuly 13, 2023
NPPES CertifiedJuly 13, 2023
NPI 1225094907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NC · 2007-00747
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
3643 N ROXBORO ST, Durham, NC 27704

Other Identifiers 2

Medicaid003019800MD
Medicaid5907729NC

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

Gerald S Bloomfield Jr. M.d. 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 ID2163454943
PECOS Enrollment IDI20070926001086
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 30

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
308 services301 patients
Heart muscle strain imaging 93356
Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.
188 services185 patients
3d radiographic procedure with computerized image postprocessing 76377
A 3D radiographic procedure with computerized image postprocessing is a high-tech imaging test. It uses X-rays to create detailed 3D images of the body. The computerized postprocessing further enhances these images for more precise diagnosis and treatment planning.
141 services139 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
134 services134 patients
Heart muscle strain imaging 93356
Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.
116 services116 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
70 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Person Memorial Hospital

Acute Care Hospitals · Roxboro, NC
OwnershipProprietary
CMS Certification Number340159
Location615 Ridge RdRoxboro, NC 27573 · Person County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27704 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 20

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

Emergency Medicine
3643 N ROXBORO ST
DURHAM, NC 27704
Physician Assistant (Medical)
3643 N ROXBORO ST
DURHAM, NC 27704
Occupational Therapist
3643 N ROXBORO ST
DURHAM, NC 27704
Physical Therapist
3643 N ROXBORO ST
DURHAM, NC 27704
Pharmacist
3643 N ROXBORO ST
DURHAM, NC 27704
Anesthesiology
3643 N ROXBORO ST
DURHAM, NC 27704
Anesthesiology
3643 N ROXBORO ST
DURHAM, NC 27704
Internal Medicine
3643 N ROXBORO ST
DURHAM, NC 27704

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 Gerald Bloomfield's NPI number?

The NPI number for Gerald Bloomfield is 1225094907. It was assigned to this individual provider in the NPPES registry on April 22, 2006.

Where is Gerald Bloomfield located?

Gerald Bloomfield practices at 3643 N Roxboro St, Durham, NC 27704. The listed phone number is (919) 470-8490.

What is Gerald Bloomfield's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Gerald Bloomfield enrolled in Medicare?

Yes. Gerald Bloomfield 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 Gerald Bloomfield accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Gerald Bloomfield 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 Gerald Bloomfield affiliated with any hospitals?

According to CMS data, Gerald Bloomfield is affiliated with Duke University Hospital and Person Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Gerald Bloomfield was last updated on July 13, 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.