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DR. TODD EVAN BLOOM M.S., D.D.S.
NPI 1972559391
Dentist - Oral and Maxillofacial Surgery in Fairfield, CT

Active since May 26, 2006Opted out of Medicare · through Dec 7, 2026
1305 POST RD, SUITE 303, FAIRFIELD, CT 06824(203) 259-2227(203) 259-2218 Get Directions Write a Review

NPPES record last updated: December 19, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Todd Evan Bloom M.s., D.d.s. NPPES

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

DR. TODD EVAN BLOOM M.S., D.D.S. (NPI 1972559391) is an individual oral and maxillofacial surgery provider in Fairfield, Connecticut, licensed in Connecticut (9276) and active in the NPI registry since May 2006. He has opted out of Medicare through December 7, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1972559391
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. TODD EVAN BLOOMCredential: M.S., D.D.S.
Location Address1305 POST RD, SUITE 303Fairfield, CT 06824-6016
Mailing Address1305 Post Rd, Suite 303Fairfield, CT 06824-6016 · (203) 259-2227 · Fax (203) 259-2218
Phone(203) 259-2227
Fax(203) 259-2218
Sole ProprietorNo
Enumeration DateMay 26, 2006
Last NPPES UpdateDecember 19, 2007
✔ NPI 1972559391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CT · 9276
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1305 POST RD, Fairfield, CT 06824
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Todd Evan Bloom M.s., D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 7, 2018 through December 7, 2026.

Opt-Out Effective DateDecember 7, 2018
Opt-Out In Effect ThroughDecember 7, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06824 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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.

FAIRFIELD COUNTY LIFESTYLE CONSULTANTS, LLC
Dietitian, Registered
1305 POST RD, SUITE 307
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 256-0048
SAUGATUCK HOMECARE, INC.
In Home Supportive Care
1305 POST RD, SUITE 106
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 254-0402
FAIRFIELD DERMATOLOGY, P.C.
Specialist
1305 POST RD, 310
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 259-7709
LAURA J CARAMORE OTR L
Occupational Therapist
1305 POST RD, SUITE 100
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 767-0981
CARDIAC SPECIALISTS, P.C.
Specialist
1305 POST RD
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 292-2000
DR. RAQUEL HURUTA DIAS MD
Pediatrics
1305 POST RD, SUITE 103
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 955-1990
GLOBAL PEDIATRICS LLC
Pediatrics
1305 POST RD, SUITE 103
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 955-1990
DR. PAUL DENGELEGI DMD
Dentist (Prosthodontics)
1305 POST RD, STE 200
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 255-9399

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 Todd Bloom's NPI number?

The NPI number for Todd Bloom is 1972559391. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Todd Bloom located?

Todd Bloom practices at 1305 Post Rd Suite 303, Fairfield, CT 06824. The listed phone number is (203) 259-2227.

What is Todd Bloom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Todd Bloom enrolled in Medicare?

No. Todd Bloom has opted out of Medicare through December 7, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Todd Bloom was last updated on December 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.