GARY M BLOOMGARDEN MD
NPI 1710993381
Neurological Surgery in Dallas, TX

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
6924 STEFANI DR, DALLAS, TX 75225(203) 623-3717 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 8, 2025, Jun 3, 2025, Dec 8, 2020 and 1 more (4 updates tracked since 2018).

About Gary M Bloomgarden Md NPPES

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

GARY M BLOOMGARDEN MD (NPI 1710993381) is an individual neurological surgery provider in Dallas, Texas, licensed in Texas (Q0224) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Meritus Medical Center, and is a graduate of New York University School Of Medicine (1980).

NPPES Registry Identity

NPI1710993381
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameGARY M BLOOMGARDENCredential: MD
Location Address6924 STEFANI DRDallas, TX 75225-1744
Mailing Address6924 Stefani DrDallas, TX 75225-1744 · (203) 623-3717
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1980
Enumeration DateAugust 1, 2006
Last NPPES UpdateAugust 8, 20254 updates tracked since enumeration
NPPES CertifiedAugust 8, 2025
NPI 1710993381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses Licensed in TX · Q0224 Licensed in MD · D0102167 Licensed in CT · 023954 Licensed in DE · C1-0028216
Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

6924 STEFANI DR, Dallas, TX 75225

Accepted 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

Gary M Bloomgarden Md 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 ID4486748514
PECOS Enrollment IDI20250211000769, I20260521003200
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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
20 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
19 services13 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
18 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Meritus Medical Center

Acute Care Hospitals · Hagerstown, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210001
Location11116 Medical Campus RoadHagerstown, MD 21742 · Washington County
Emergency services Birthing friendly

Mclaren Northern Michigan

Acute Care Hospitals · Petoskey, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230105
Location416 Connable AvePetoskey, MI 49770 · Emmet County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75225 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

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 Gary Bloomgarden's NPI number?

The NPI number for Gary Bloomgarden is 1710993381. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Gary Bloomgarden located?

Gary Bloomgarden practices at 6924 Stefani Dr, Dallas, TX 75225. The listed phone number is (203) 623-3717.

What is Gary Bloomgarden's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Gary Bloomgarden enrolled in Medicare?

Yes. Gary Bloomgarden 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 Gary Bloomgarden accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Arkansas Blue Cross and Blue Shield and Blue Cross and Blue Shield of Texas and 5 other insurers list Gary Bloomgarden 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 Gary Bloomgarden affiliated with any hospitals?

According to CMS data, Gary Bloomgarden is affiliated with Meritus Medical Center and Mclaren Northern Michigan.

When was this NPI record last updated?

The NPPES record for Gary Bloomgarden was last updated on August 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.