Eric E Blom, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

43724 Issued in CO

Practice address

3155 N Union Blvd
Colorado Springs, CO 80907-8703

Phone

(719) 630-3937

Fax

(719) 635-3578

NPI assigned

May 9, 2006

Last updated

Aug 7, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Ophthalmology

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Britt a Buckley MD PCGroup PAC ID 0840267217, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mt San Rafael Hospital Hospital, Trinidad, CO, CCN 061321

Merit-based Incentive Payment System (MIPS)

Final score

88.49 of 100Reported as group

Quality

89.62

Improvement activities

40

Cost

75.47

Merit-based Incentive Payment System (MIPS)

Final score

21.51 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

71.7

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eblom@skyline.intellechartdirect.net
• Direct secure messaging: eric.blom.p1@direct.rmec.nextgenshare.com

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

• Britt a Buckley MD PC

  dba Peak VIsion Center

  • Corneal and Contact Management Optometrist
  • Colorado Springs, CO
  • NPI 1417162355
  Medicare reassignment Care Compare group NPD
• Rocky Mountain Eye Center Inc a Colorado Provider Network

  • Ophthalmology Physician
  • Pueblo, CO
  • NPI 1073567459
  Medicare reassignment NPD
• Eidolon Medical Services PLLC

  • Ophthalmology Physician
  • Pueblo, CO
  • NPI 1770329633
  NPD Authorized official
• Pueblo Co Ophthalmology ASC LLC

  dba Rocky Mountain Laser & Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Pueblo, CO
  • NPI 1285608075
  NPD (past)

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

• Trinidad Area Health Association

  dba Mt. San Rafael Hospital

  • Critical Access Hospital
  • Trinidad, CO
  • NPI 1184616740
  Care Compare affiliation

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1295784916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 N UNION BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809078703",
            "telephone_number": "719-630-3937",
            "fax_number": "719-635-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 N UNION BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809078703",
            "telephone_number": "719-630-3937",
            "fax_number": "719-635-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOM",
        "first_name": "ERIC",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "43724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED EYECARE",
            "identifier": "CO3724",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00243931",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC",
            "identifier": "0452890001",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE SPECIALISTS",
            "identifier": "923384020820",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "BL672952",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75727749",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT LABOR WORK COMP",
            "identifier": "608436900",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Paul Bliss Jr., M.D.
• Mikaela Sage Bliss
• Jason Bernard Blitz, M.D.
• Jeffrey K Blixt, D.O.
• Emily Christine Blohm, M.S. CCC- SLP
• Alexandra Blomquist, DDS
• Ronald D Blonder, D.O.
• Neida L. Blondet, MSN, APRN, FNP-C
• Luisauny Bloodworth, DC
• Bloom Behavioral Health

• Ophthalmology Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Ophthalmology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.

Verify at the official NPI Registry.