1. Home
  2. Directory
  3. Ohio
  4. Dayton
  5. Ophthalmology
  6. NPI Profile

MR. MICHAEL SCOTT BLOOM M.D.
NPI 1639128689
Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist in Dayton, OH

Active since May 08, 2006PECOS EnrolledAccepts Medicare Assignment
77.59/100
CMS Quality Rating
1020 WOODMAN DR STE 105, DAYTON, OH 45432(937) 723-7772(937) 226-9605 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Michael Scott Bloom M.d. NPPES

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

MR. MICHAEL SCOTT BLOOM M.D. (NPI 1639128689) is an individual pediatric ophthalmology and strabismus specialist in Dayton, Ohio, licensed in Ohio (35066075B) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Ohio State University College Of Medicine (1992).

NPPES Registry Identity

NPI1639128689
Entity TypeIndividualMale
Primary Taxonomy207WX0110X
Provider Legal NameMR. MICHAEL SCOTT BLOOMCredential: M.D.
Location Address1020 WOODMAN DR STE 105Dayton, OH 45432-1446
Mailing Address1020 Woodman Dr Ste 105Dayton, OH 45432-1446 · (937) 723-7772 · Fax (937) 226-9605
Phone(937) 723-7772
Fax(937) 226-9605
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1992
Enumeration DateMay 8, 2006
Last NPPES UpdateOctober 28, 2021
NPPES CertifiedOctober 28, 2021
✔ NPI 1639128689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0110X
License✔ Licensed in OH · 35066075B
Definition
An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.
Also ListedOphthalmologyTaxonomy 207W00000X · License 207W00000X (OH)
1020 WOODMAN DR STE 105, Dayton, OH 45432
Open in Google Maps ↗

Other Identifiers 2

Medicaid9111115OH
Medicaid2099223OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Michael Scott Bloom 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 ID2062483837
PECOS Enrollment IDI20040804001160, I20120120000364
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Michael Bloom reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bloom Family Eye Surgeons Ltd
3.1 mi
Pediatric Ophthalmology and Strabismus Specialist
1 CHILDRENS PLZ
Dayton, OH 45404
  • Reassigned Medicare billing, Ohio enrollment
  • 8 clinicians in this Medicare group
NPI 1649342890 (937) 641-3020
Cei Physicians Psc LLC
38 mi
Ophthalmology
1945 CEI DR
Cincinnati, OH 45242
  • Reassigned Medicare billing, Ohio enrollment
  • 225 clinicians in this Medicare group
NPI 1942296298 (513) 569-3741
Whitewater Eye Centers LLC
42 mi
Ophthalmology
1900 CHESTER BLVD
Richmond, IN 47374
  • Reassigned Medicare billing, Indiana enrollment
  • 14 clinicians in this Medicare group
NPI 1962635052 (765) 962-2020

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 12

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 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.
172 services119 patients
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.
111 services105 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
97 services97 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
75 services71 patients
Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
54 services49 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).
45 services42 patients

Hospital Affiliations CMS Care Compare

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45432 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $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.

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.

77.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost25.32

Other Providers at the Same Location NPPES

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

DR. JACQUELINE MARIE ERDAHL DO
Ophthalmology
1020 WOODMAN DR STE 105
DAYTON, OH 45432
Greene County (937) 723-7772

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 Michael Bloom's NPI number?

The NPI number for Michael Bloom is 1639128689. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Michael Bloom located?

Michael Bloom practices at 1020 Woodman Dr Ste 105, Dayton, OH 45432. The listed phone number is (937) 723-7772.

What is Michael Bloom's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Pediatric Ophthalmology and Strabismus Specialist, with taxonomy code 207WX0110X.

Is Michael Bloom enrolled in Medicare?

Yes. Michael 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 organizations bill Medicare for Michael Bloom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Bloom reassigns Medicare benefits to 3 organizations: Bloom Family Eye Surgeons Ltd (Dayton, OH), Cei Physicians Psc LLC (Cincinnati, OH) and Whitewater Eye Centers LLC (Richmond, IN). Each 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 Michael Bloom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Bloom accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 15 other insurers list Michael 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 Michael Bloom affiliated with any hospitals?

According to CMS data, Michael Bloom is affiliated with Miami Valley Hospital.

When was this NPI record last updated?

The NPPES record for Michael Bloom was last updated on October 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.