DR. JEFFREY HOWARD BLOOM D.O.
NPI 1669472148
Family Medicine - Sports Medicine in Newport Beach, CA

Q: What is Jeffrey Bloom's NPI number?

The NPI number for Jeffrey Bloom is 1669472148. It was assigned to this individual provider in the NPPES registry on July 27, 2005.

Q: What is Jeffrey Bloom's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Bloom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 July 27, 2005PECOS EnrolledAccepts Medicare Assignment

20311 SW ACACIA ST, SUITE 100, NEWPORT BEACH, CA 92660(949) 263-1242(949) 263-1280 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jeffrey Howard Bloom D.o. NPPES

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

DR. JEFFREY HOWARD BLOOM D.O. (NPI 1669472148) is an individual sports medicine provider in Newport Beach, California, licensed in California (20A6397) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1992).

NPPES Registry Identity

NPI1669472148

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. JEFFREY HOWARD BLOOMCredential: D.O.

Location Address20311 SW ACACIA ST, SUITE 100Newport Beach, CA 92660-1733

Mailing Address7435 Paloma DrHuntington Beach, CA 92648-6833 · (714) 420-6620 · Fax (949) 263-1280

Phone(949) 263-1242

Fax(949) 263-1280

Sole ProprietorNo

Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1992

Enumeration DateJuly 27, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1669472148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in CA · 20A6397

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

20311 SW ACACIA ST, Newport Beach, CA 92660

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Other Identifiers 2

Other20A6397CA · State License Number

Medicare UPING01162CA

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. Jeffrey Howard Bloom D.o. 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 ID7214194695

PECOS Enrollment IDI20120214000263

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 10

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.

309 services122 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

104 services82 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

101 services101 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

97 services97 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.

73 services41 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

49 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier11 claims11 services$21.62 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

BACK BAY MEDICAL LLC

Clinic/Center (Radiology)

20311 SW ACACIA ST, SUITE 140
NEWPORT BEACH, CA 92660

Orange County (949) 756-8200

GREGORY A ROBERTSON MD A PROFESSIONAL MEDICAL CORPORATION

Internal Medicine

20311 SW ACACIA ST, STE 100
NEWPORT BEACH, CA 92660

Orange County (949) 891-1441

DR. RUSSELL S. ALTERMAN D.O.

Internal Medicine

20311 SW ACACIA ST, SUITE 100
NEWPORT BEACH, CA 92660

Orange County (949) 250-4244

JEFFREY BLOOM D.O. INC, DBA BACK BAY MEDICAL

Family Medicine (Sports Medicine)

20311 SW ACACIA ST, #100
NEWPORT BEACH, CA 92660

Orange County (949) 263-1242

DR. GREGORY A ROBERTSON M.D.

Internal Medicine

20311 SW ACACIA ST, STE 100
NEWPORT BEACH, CA 92660

Orange County (949) 250-4244

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 Jeffrey Bloom's NPI number?

The NPI number for Jeffrey Bloom is 1669472148. It was assigned to this individual provider in the NPPES registry on July 27, 2005.

Where is Jeffrey Bloom located?

Jeffrey Bloom practices at 20311 SW Acacia St Suite 100, Newport Beach, CA 92660. The listed phone number is (949) 263-1242.

What is Jeffrey Bloom's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Jeffrey Bloom enrolled in Medicare?

Yes. Jeffrey 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.

When was this NPI record last updated?

The NPPES record for Jeffrey Bloom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.