Active NPI
Gary F Bloemer, M.D.
- Orthopaedic Surgery Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 22975
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1050981 | Other | KY | PASSPORT HEALTH PLAN |
| 50027006 | Other | NOS/PHP | |
| 3759068000 | Other | NOS/PAD | |
| 64229750 | Medicaid | KY | |
| 000000062049 | Other | KY | ANTHEM BCBS |
| 000000642552 | Other | NOS/ANTHEM | |
| 000052152W | Other | NOS/HUMANA | |
| 1944985 | Other | NOS/CIGNA | |
| 110585 | Other | NOS/SIHO | |
| 50027006 | Other | KY | PASSPORT/ 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
1301 N Race St
Glasgow, KY 42141-3454
Phone (270) 651-4444
Hospital & facility affiliations
- T J Samson Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.3 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| T J Samson Community Hospital | Orthopaedic Surgery | Current | Accepting new patients |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | 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
- 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.
-
- Family Medicine Physician
- Glasgow, KY
- NPI 1477609865
KY, Orthopaedic Surgery
-
- Community/Retail Pharmacy
- Glasgow, KY
- NPI 1043604812
-
- Durable Medical Equipment & Medical Supplies
- Glasgow, KY
- NPI 1083630149
-
- Home Health Agency
- Glasgow, KY
- NPI 1245261858
-
- Community Based Hospice Care Agency
- Glasgow, KY
- NPI 1376574806
-
- Rural Health Clinic/Center
- Cave City, KY
- NPI 1629429360
-
- Community/Retail Pharmacy
- Glasgow, KY
- NPI 1679350847
-
- General Acute Care Hospital
- Glasgow, KY
- NPI 1770581894
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1588614994
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.