DR. LANCE ELDEN BLOOM O.D.
NPI 1912331877
Optometrist in Boise, ID

Active since August 28, 2013PECOS EnrolledAccepts Medicare Assignment
93.58/100
CMS Quality Rating
291 N MILWAUKEE ST STE A-3, BOISE, ID 83704(833) 776-2020 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2023, Mar 17, 2018, Aug 31, 2017 (3 updates tracked since 2017).

About Dr. Lance Elden Bloom O.d. NPPES

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

DR. LANCE ELDEN BLOOM O.D. (NPI 1912331877) is an individual optometrist in Boise, Idaho, licensed in Idaho (ODP-100491) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1912331877
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. LANCE ELDEN BLOOMCredential: O.D.
Location Address291 N MILWAUKEE ST STE A-3Boise, ID 83704-9132
Mailing Address3485 N. Cole RdBoise, ID 83711-1095 · (833) 776-2020
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 28, 2013
Last NPPES UpdateJanuary 5, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2023
NPI 1912331877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in ID · ODP-100491 Licensed in CO · 0003017
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
291 N MILWAUKEE ST STE A-3, Boise, ID 83704

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

Dr. Lance Elden Bloom O.d. 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 ID1557595162
PECOS Enrollment IDI20200427002135
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 3

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
99 services99 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
39 services39 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
21 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83704 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

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.

93.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.16
Improvement Activities40

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.

Optometrist
291 N MILWAUKEE ST STE A-3
BOISE, ID 83704
Optometrist
291 N MILWAUKEE ST STE A-3
BOISE, ID 83704
Optometrist
291 N MILWAUKEE ST STE A-3
BOISE, ID 83704
Optometrist
291 N MILWAUKEE ST STE A-3
BOISE, ID 83704
Optometrist
291 N MILWAUKEE ST STE A-3
BOISE, ID 83704

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 Lance Bloom's NPI number?

The NPI number for Lance Bloom is 1912331877. It was assigned to this individual provider in the NPPES registry on August 28, 2013.

Where is Lance Bloom located?

Lance Bloom practices at 291 N Milwaukee St Ste A-3, Boise, ID 83704. The listed phone number is (833) 776-2020.

What is Lance Bloom's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Lance Bloom enrolled in Medicare?

Yes. Lance 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.

What insurance does Lance Bloom accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Lance Bloom 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.

When was this NPI record last updated?

The NPPES record for Lance Bloom was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.