DR. ROBERT S BLISS MD
NPI 1972505964
Family Medicine in Florence, CO

NPI Status: Active since August 10, 2005

Contact Information

501 W 5TH ST
FLORENCE, CO
ZIP 81226
Phone: (719) 784-4816
Fax: (719) 784-6014

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  • Individual
  • Male
  • Years of Experience 40
  • Family Medicine
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ROBERT BLISS

This page provides the complete NPI Profile along with additional information for Robert Bliss, a primary care provider established in Florence, Colorado with a medical specialization in Family Medicine and more than 40 years of experience. He graduated from University Of Colorado School Of Medicine, Denver in 1986. The healthcare provider is registered in the NPI registry with number 1972505964 assigned on August 2005. The practitioner's primary taxonomy code is 207Q00000X with license number 028322 (CO). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1972505964
Provider Name
DR. ROBERT S BLISS MD
Gender
Male
Entity Type
Individual
Location Address
501 W 5TH ST FLORENCE, CO 81226
Location Phone
(719) 784-4816
Location Fax
(719) 784-6014
Mailing Address
501 W 5TH ST FLORENCE, CO 81226
Mailing Phone
(719) 784-4816
Mailing Fax
(719) 784-6014
Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduation Year
1986
Is Sole Proprietor?
No
Enumeration Date
08-10-2005
Last Update Date
08-07-2014
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A primary care provider (PCP) like Robert Bliss sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
028322
License State
CO
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
05638952MEDICAID (05)CO 
C437308MEDICARE PIN (08) 
063851MEDICARE OSCAR/CERTIFICATION (06) 
E70252MEDICARE UPIN (02) 

Medicare Participation & PECOS Enrollment Status

Robert Bliss is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Robert Bliss is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8628263852

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20101112000462

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Oxygen and Supplies (DC000N)

    Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)

    2 DME suppliers used 48 Medicare Claims 48 Services Paid

  • DME-Other DME (DE005N)

    Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) (HCPCS:E0466)

    1 DME suppliers used 28 Medicare Claims 28 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    2 DME suppliers used 92 Medicare Claims 92 Services Paid

  • DME-Other DME (DE000N)

    Pharmacy dispensing fee for inhalation drug(s); per 30 days (HCPCS:Q0513)

    2 DME suppliers used 16 Medicare Claims 16 Services Paid

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $22.35 for a new patient copayment and $25.5 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 81226 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $89.43
  • Minimum New Patient Price $58.06
  • Maximum New Patient Price $174.82
  • Average New Patient Copayment $22.35
  • Minimum New Patient Copayment $14.51
  • Maximum New Patient Copayment $43.7

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $102.03
  • Minimum Established Patient Price $18.88
  • Maximum Established Patient Price $142.79
  • Average Established Patient Copayment $25.5
  • Minimum Established Patient Copayment $4.72
  • Maximum Established Patient Copayment $35.69

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. ROBERT S BLISS MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1972505964
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2914210010912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 4 + 2 + 1 + 0 + 0 + 1 + 0 + 9 + 1 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1972505964 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

JOSEPH T. MCGARRY M.D.

Family Medicine

501 W 5TH ST
FLORENCE, CO
ZIP 81226

(719) 784-4816

JOSEPH T MCGARRY MD PC

Family Medicine

501 W 5TH ST
FLORENCE, CO
ZIP 81226

(719) 784-4816

TOLOA PEARL NP

Nurse Practitioner

(Gerontology)

501 W 5TH ST
FLORENCE, CO
ZIP 81226

(719) 784-4816

RICHARD G. STRAIGHT FNP

Nurse Practitioner

(Family)

501 W 5TH ST
FLORENCE MEDICAL CENTER
FLORENCE, CO
ZIP 81226

(719) 784-4816

POUDRE VALLEY MEDICAL GROUP, LLC

Internal Medicine

(Cardiovascular Disease)

501 W 5TH ST
FLORENCE, CO
ZIP 81226

(719) 784-4816

FLORENCE MEDICAL CENTER LLC

Family Medicine

501 W 5TH ST
FLORENCE, CO
ZIP 81226

(719) 784-4816

VIOLA BRUNING LPC

Counselor

(Professional)

501 W 5TH ST
FLORENCE, CO
ZIP 81226

(719) 784-4816

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972505964, enumerated as an "individual" on August 10, 2005.

The provider is located at 501 W 5TH ST FLORENCE, CO 81226 and the phone number is (719) 784-4816.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.