Individual provider Active NPI

Gary F Bloemer, M.D.

  • Orthopaedic Surgery Physician
  • Louisville, KY
National Provider Identifier
1104884550
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
22975 Issued in KY
Practice address
3 Audubon Plaza Dr
Suite 430
Louisville, KY 40217-1300
Phone
(502) 588-9490
Fax
(502) 272-5116
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 22975 KY Primary

Addresses

Primary practice location

3 Audubon Plaza Dr
Suite 430
Louisville, KY 40217-1300

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 636-4900

Other identifiers 10

IdentifierTypeStateIssuer
1050981OtherKYPASSPORT HEALTH PLAN
50027006OtherNOS/PHP
3759068000OtherNOS/PAD
64229750MedicaidKY
000000062049OtherKYANTHEM BCBS
000000642552OtherNOS/ANTHEM
000052152WOtherNOS/HUMANA
1944985OtherNOS/CIGNA
110585OtherNOS/SIHO
50027006OtherKYPASSPORT/ NOS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070709000427 KY Practitioner - Orthopedic Surgery 1355441130 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Louisville School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
T J Samson Community Hospital 197 clinicians

Practice addresses (Care Compare)

1301 N Race St
Glasgow, KY 42141-3454
Phone (270) 651-4444

Hospital & facility affiliations

  • T J Samson Community Hospital Hospital, Glasgow, KY, CCN 180017

Merit-based Incentive Payment System (MIPS)

Final score
86.3 of 100Reported as group
Quality
74.59
Promoting interoperability
100
Improvement activities
40
Cost
68.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
T J Samson Community Hospital Orthopaedic Surgery CurrentSince Jul 28, 2023 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2010 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2010 Accepting new patients

Locations

106 Columns Plaza Dr
Glasgow, KY 42141
Phone (270) 651-9390

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

3 Audubon Plaza Dr
Ste 220
Louisville, KY 40217
Phone (502) 636-7242

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

3 Audubon Plaza Dr
Ste 430
Louisville, KY 40217
Phone (502) 636-4900

Interoperability endpoints

  • Direct secure messaging: gbloemer11229@direct.nortonhealthcare.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1104884550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-636-4900",
            "fax_number": "502-636-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 AUDUBON PLAZA DR",
            "address_2": "SUITE 430",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171300",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOEMER",
        "first_name": "GARY",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "22975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT HEALTH PLAN",
            "identifier": "1050981",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOS/PHP",
            "identifier": "50027006",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOS/PAD",
            "identifier": "3759068000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64229750",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000062049",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOS/ANTHEM",
            "identifier": "000000642552",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOS/HUMANA",
            "identifier": "000052152W",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOS/CIGNA",
            "identifier": "1944985",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOS/SIHO",
            "identifier": "110585",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT/ NOS",
            "identifier": "50027006",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.