SCOTT BLOOM
NPI 1407904188
Optometrist in Hastings, MI

Q: What is Scott Bloom's NPI number?

The NPI number for Scott Bloom is 1407904188. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Q: What is Scott Bloom's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Scott Bloom was last updated on March 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since January 08, 2007PECOS EnrolledAccepts Medicare Assignment

1510 N BROADWAY ST, HASTINGS, MI 49058(269) 945-2192(269) 945-3937 Get Directions Write a Review

NPPES record last updated: March 10, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Scott Bloom NPPES

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

SCOTT BLOOM (NPI 1407904188) is an individual optometrist in Hastings, Michigan, licensed in Michigan (4903603) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1407904188

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameSCOTT BLOOM

Location Address1510 N BROADWAY STHastings, MI 49058-1007

Mailing Address1510 N Broadway StHastings, MI 49058-1007 · (269) 945-2192 · Fax (269) 945-3937

Phone(269) 945-2192

Fax(269) 945-3937

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateJanuary 8, 2007

Last NPPES UpdateMarch 10, 2009

✔ NPI 1407904188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MI · 4903603

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1510 N BROADWAY ST, Hastings, MI 49058

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Other Identifiers 4

Medicaid2813638MI

Medicare PINN87460001MI

Medicare UPINU27870MI

Medicare NSC6171910001MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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

Scott Bloom 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 ID7214925718

PECOS Enrollment IDI20040504000447

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 2

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 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.

62 services61 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.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49058 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.09 – $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.

Other Providers at the Same Location NPPES 5

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

ANGELA VREDENBURG DDS

Dentist (General Practice)