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DR. MARC BLOOMENSTEIN OD
NPI 1568428910
Optometrist in Scottsdale, AZ

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
45.13/100
CMS Quality Rating
8416 E SHEA BLVD # C-101, SCOTTSDALE, AZ 85260(480) 483-3937 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Marc Bloomenstein Od NPPES

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

DR. MARC BLOOMENSTEIN OD (NPI 1568428910) is an individual optometrist in Scottsdale, Arizona, licensed in Arizona (884) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1994).

NPPES Registry Identity

NPI1568428910
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARC BLOOMENSTEINCredential: OD
Location Address8416 E SHEA BLVD # C-101Scottsdale, AZ 85260-6666
Mailing Address8416 E Shea Blvd # C-101Scottsdale, AZ 85260-6666 · (480) 483-3937 · Fax (480) 483-8813
Phone(480) 483-3937
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 1994
Enumeration DateApril 25, 2006
Last NPPES UpdateApril 26, 2022
NPPES CertifiedApril 22, 2022
✔ NPI 1568428910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in AZ · 884
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.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 884 (AZ)
8416 E SHEA BLVD # C-101, Scottsdale, AZ 85260
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Other Identifiers 1

Other86-0884211Tax Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Dr. Marc Bloomenstein Od 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 ID2163411026
PECOS Enrollment IDI20040507000301
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 4

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 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.
311 services299 patients
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.
197 services149 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.
31 services31 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85260 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

45.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Improvement Activities40
Cost50.43

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 Marc Bloomenstein's NPI number?

The NPI number for Marc Bloomenstein is 1568428910. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Marc Bloomenstein located?

Marc Bloomenstein practices at 8416 E Shea Blvd # C-101, Scottsdale, AZ 85260. The listed phone number is (480) 483-3937.

What is Marc Bloomenstein's specialty?

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

Is Marc Bloomenstein enrolled in Medicare?

Yes. Marc Bloomenstein 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 Marc Bloomenstein accept?

Health plans from Providence Health Plan list Marc Bloomenstein 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.

When was this NPI record last updated?

The NPPES record for Marc Bloomenstein was last updated on April 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.