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MRS. BERNICE MOELLER-BLOOM NP
NPI 1639173255
Nurse Practitioner - Obstetrics & Gynecology in Saratoga Springs, NY

Active since June 10, 2005PECOS Enrolled
77.38/100
CMS Quality Rating
59 MYRTLE STREET, SUITE 100, SARATOGA SPRINGS, NY 12866(518) 587-2400(518) 581-0141 Get Directions Write a Review

NPPES record last updated: March 31, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Bernice Moeller-bloom Np NPPES

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

MRS. BERNICE MOELLER-BLOOM NP (NPI 1639173255) is an individual obstetrics & gynecology provider in Saratoga Springs, New York, licensed in New York (F3600631) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639173255
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameMRS. BERNICE MOELLER-BLOOMCredential: NP
Location Address59 MYRTLE STREET, SUITE 100Saratoga Springs, NY 12866-1093
Mailing Address59 Myrtle Street, Suite 100Saratoga Springs, NY 12866-1093 · (518) 587-2400 · Fax (518) 581-0141
Phone(518) 587-2400
Fax(518) 581-0141
Sole ProprietorNo
Enumeration DateJune 10, 2005
Last NPPES UpdateMarch 31, 2016
✔ NPI 1639173255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License✔ Licensed in NY · F3600631
59 MYRTLE STREET, Saratoga Springs, NY 12866
Open in Google Maps ↗

Other Identifiers 1

Other350498NY · Mvp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Bernice Moeller-bloom Np 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.

Medicare Billing Reassignments

3

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

Saratoga Hospital
0.1 mi
General Acute Care Hospital
211 CHURCH ST
Saratoga Springs, NY 12866
  • Reassigned Medicare billing, New York enrollment
  • 456 clinicians in this Medicare group
NPI 1073569331 (518) 587-3222
Saratoga Regional Medical , P.C
1.4 mi
Primary Care
15 MAPLE DELL STE 1
Saratoga Springs, NY 12866
  • Reassigned Medicare billing, New York enrollment
  • 98 clinicians in this Medicare group
NPI 1043891096 (518) 886-5112
Mcginnis Womens Medical Care, PC
25 mi
Obstetrics & Gynecology
24 COMPUTER DR W
Albany, NY 12205
  • Reassigned Medicare billing, New York enrollment
  • 6 clinicians in this Medicare group
NPI 1194746941 (518) 689-7548

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 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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
41 services41 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.
21 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12866 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
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.

77.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.97
Promoting Interoperability97
Improvement Activities40
Cost39.16

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
44%61 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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. ELIOT L. BIRNBAUM M.D.
Obstetrics & Gynecology
59 MYRTLE STREET, SUITE 100
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 587-2400

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 Bernice Moeller-bloom's NPI number?

The NPI number for Bernice Moeller-bloom is 1639173255. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Bernice Moeller-bloom located?

Bernice Moeller-bloom practices at 59 Myrtle Street Suite 100, Saratoga Springs, NY 12866. The listed phone number is (518) 587-2400.

What is Bernice Moeller-bloom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Bernice Moeller-bloom enrolled in Medicare?

Yes. Bernice Moeller-bloom is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Bernice Moeller-bloom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bernice Moeller-bloom reassigns Medicare benefits to 3 organizations: Saratoga Hospital (Saratoga Springs, NY), Saratoga Regional Medical , P.C (Saratoga Springs, NY) and Mcginnis Womens Medical Care, PC (Albany, NY). 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 Bernice Moeller-bloom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bernice Moeller-bloom was last updated on March 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.