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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: October 18, 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
Phone(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
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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

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
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

6

Medicare enrollment records show Gary Bloomgarden reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Texas Southwestern Medical Center At Dallas
5.4 mi
Rehabilitation
6011 HARRY HINES BLVD
Dallas, TX 75235
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group
NPI 1043418205 (214) 645-0624
St Bernards Physician Clinics, Inc.
403 mi
Otolaryngology/Facial Plastic Surgery
621 E MATTHEWS AVE
Jonesboro, AR 72401
  • Reassigned Medicare billing, Arkansas enrollment
  • 251 clinicians in this Medicare group
NPI 1124813076 (870) 932-6799
Ohiohealth Corporation
909 mi
Anesthesiology
111 S GRANT AVE FL 3
Columbus, OH 43215
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1407292105 (614) 566-8808
Altru Health System
1,037 mi
Clinic/Center
1300 S COLUMBIA RD
Grand Forks, ND 58201
  • Reassigned Medicare billing, North Dakota enrollment
  • 701 clinicians in this Medicare group
NPI 1043309552 (701) 780-5000
Mclaren Northern Michigan
1,068 mi
Family Medicine
416 CONNABLE AVE
Petoskey, MI 49770
  • Reassigned Medicare billing, Michigan enrollment
  • 149 clinicians in this Medicare group
NPI 1760736094 (231) 487-4000
Medical Practices Of Antietam LLC
1,156 mi
Sports Medicine
17301 VALLEY MALL RD STE 125
Hagerstown, MD 21740
  • Reassigned Medicare billing, Maryland enrollment
  • 242 clinicians in this Medicare group
NPI 1184481459 (301) 790-9237

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 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

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

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.

Which organizations bill Medicare for Gary Bloomgarden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Bloomgarden reassigns Medicare benefits to 6 organizations: University Of Texas Southwestern Medical Center At Dallas (Dallas, TX), St Bernards Physician Clinics, Inc. (Jonesboro, AR), Ohiohealth Corporation (Columbus, OH), Altru Health System (Grand Forks, ND), Mclaren Northern Michigan (Petoskey, MI) and 1 more organization, listed in the Medicare section above. 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 Gary Bloomgarden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 2 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.

When was this NPI record last updated?

The NPPES record for Gary Bloomgarden was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.