JACOB CAMERON BLOOM MD
NPI 1760942494
Otolaryngology - Plastic Surgery within the Head & Neck in Seattle, WA

Q: What is Jacob Bloom's NPI number?

The NPI number for Jacob Bloom is 1760942494. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Q: What is Jacob Bloom's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Bloom was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 20, 2019PECOS EnrolledAccepts Medicare Assignment

1550 N 115TH ST, SEATTLE, WA 98133(206) 520-5000 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 16, 2024, Mar 28, 2023, Jul 15, 2019 and 1 more (4 updates tracked since 2019).

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About Jacob Cameron Bloom Md NPPES

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

JACOB CAMERON BLOOM MD (NPI 1760942494) is an individual plastic surgery within the head & neck provider in Seattle, Washington, licensed in Washington (MD61543077) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with University Of Washington Medical Ctr, and is a graduate of Albany Medical College Of Union University (2019).

NPPES Registry Identity

NPI1760942494

Entity TypeIndividualMale

Primary Taxonomy207YX0007X

Provider Legal NameJACOB CAMERON BLOOMCredential: MD

Location Address1550 N 115TH STSeattle, WA 98133-8401

Mailing AddressPo Box 50095Seattle, WA 98145-5095

Phone(206) 520-5000

Sole ProprietorYes

Medical School CMSAlbany Medical College Of Union UniversityGraduated 2019

Enumeration DateMarch 20, 2019

Last NPPES UpdateAugust 16, 20244 updates tracked since enumeration

NPPES CertifiedAugust 16, 2024

✔ NPI 1760942494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians

Taxonomy Code207YX0007X

License✔ Licensed in WA · MD61543077

Definition

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

Also ListedOtolaryngologyTaxonomy 207Y00000X · License MD61543077 (WA)

1550 N 115TH ST, Seattle, WA 98133

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Jacob Cameron Bloom 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 ID6901132398

PECOS Enrollment IDI20240903000951

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 6

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.

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.

49 services49 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

42 services41 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.

38 services33 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

33 services33 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.

24 services22 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

20 services19 patients

Hospital Affiliations CMS Care Compare

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

University Of Washington Medical Ctr

Acute Care Hospitals · Seattle, WA

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number500008

Location1959 NE Pacific St Box 356151Seattle, WA 98195 · King County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

DR. MARIA ANN CORCORRAN MD

Internal Medicine