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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. GRAYSEN MCCONNELL BLOOM DDS
NPI 1447900402
Dentist - Oral and Maxillofacial Surgery in Maryville, TN

Active since March 24, 2022PECOS Enrolled
1858 CREST RD, MARYVILLE, TN 37804(865) 977-7110 Get Directions Write a Review

NPPES record last updated: August 15, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Graysen Mcconnell Bloom Dds NPPES

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

DR. GRAYSEN MCCONNELL BLOOM DDS (NPI 1447900402) is an individual oral and maxillofacial surgery provider in Maryville, Tennessee, licensed in Tennessee (12058) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1447900402
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. GRAYSEN MCCONNELL BLOOMCredential: DDS
Location Address1858 CREST RDMaryville, TN 37804-4305
Mailing Address1858 Crest RdMaryville, TN 37804-4305 · (865) 977-7110
Phone(865) 977-7110
Sole ProprietorNo
Enumeration DateMarch 24, 2022
Last NPPES UpdateAugust 15, 2026
NPPES CertifiedAugust 15, 2026
✔ NPI 1447900402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TN · 12058
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1858 CREST RD, Maryville, TN 37804
Open in Google Maps ↗

Secondary Practice Locations 4

Location 17761 Dannaher DrPowell, TN 37849-4049 · Phone (865) 947-9800
Location 211548 Chapman HwySeymour, TN 37865-5044 · Phone (865) 577-7800
Location 3130 Mabry Hood Rd Ste 105Knoxville, TN 37922-2221 · Phone (865) 693-4442
Location 4550 Town Creek Rd E Ste 102Lenoir City, TN 37772-2600 · Phone (865) 986-4582

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Graysen Mcconnell Bloom Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37804 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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 6

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

JOHN FRANKLIN MURCHISON III
Dentist (Oral and Maxillofacial Surgery)
1858 CREST RD
MARYVILLE, TN 37804
Blount County (865) 977-7110
SOUTHEAST ORAL SURGERY PC
Dentist (Oral and Maxillofacial Surgery)
1858 CREST RD
MARYVILLE, TN 37804
Blount County (865) 977-7110
DR. GARREN M PETREE DDS
Dentist (Oral and Maxillofacial Surgery)
1858 CREST RD
MARYVILLE, TN 37804
Blount County (865) 977-7110
DR. JASON ROBERT KENNEDY D.M.D.
Dentist (Oral and Maxillofacial Surgery)
1858 CREST RD
MARYVILLE, TN 37804
Blount County (865) 977-7110
DR. TROY RANDALL NAPIER DMD
Dentist (Oral and Maxillofacial Surgery)
1858 CREST RD
MARYVILLE, TN 37804
Blount County (865) 977-7110
DR. TIMOTHY P MCCONNELL DDS
Dentist (Oral and Maxillofacial Surgery)
1858 CREST RD
MARYVILLE, TN 37804
Blount County (865) 977-7110

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 Graysen Bloom's NPI number?

The NPI number for Graysen Bloom is 1447900402. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Graysen Bloom located?

Graysen Bloom practices at 1858 Crest Rd, Maryville, TN 37804. The listed phone number is (865) 977-7110.

What is Graysen Bloom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Graysen Bloom enrolled in Medicare?

Yes. Graysen Bloom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Graysen Bloom was last updated on August 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.