Active NPI 1770757130 Individual Practitioner Male Practitioner

Dr. Jacob Maxwell-Phillip Bloom , MD

Surgery - Plastic and Reconstructive Surgery • Chicago, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Bloom, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Chicago, IL. With approximately 18 years of clinical experience since completing medical education in 2008, Dr. Bloom delivers high-quality medical care to the local community at 1 E DELAWARE PL STE 501.

Dr. Bloom is affiliated with Bloom Plastic Surgery Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 E Delaware Pl Ste 501

Chicago, IL 606111666

Telephone 3125498691

Fax 3125498692

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Chicago, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -3.1 yrs vs City Avg

City Avg: 21.1 Yrs

State Avg: 24.1 Yrs

Regional Practice Density

71 Specialists

Practicing in Chicago, IL (138 Statewide)

Telehealth Adoption Rate

8.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bloom (18 Years) 18 Yrs

Chicago Specialty Average (21.1 Years) 21.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	62	41	$287.58	$93.53
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	25	23	$1287.36	$267.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$361.56	$115.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	39	$218.06	$59.13
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	45	35	$1231.00	$274.03
99213 Established patient office or other outpatient visit, typically 15 minutes	37	26	$305.90	$94.05
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	17	16	$3634.86	$920.55
11900 Injection into skin growth, 1-7 growths	16	12	$209.50	$56.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	43	$243.16	$59.26
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	25	22	$1156.94	$280.26
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	22	14	$4.64	$1.15
11900 Injection into skin growth, 1-7 growths	22	14	$246.01	$55.39
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$387.46	$95.78
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	12	11	$2887.28	$645.81
10040 Acne surgery	11	11	$505.64	$124.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	26	$239.90	$59.84
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	24	22	$1139.13	$284.77
11900 Injection into skin growth, 1-7 growths	16	12	$244.38	$60.92
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	16	12	$5.05	$1.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	38	31	$260.61	$80.00
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	30	11	$983.89	$247.02
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	24	22	$1588.00	$296.78
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	15	15	$4577.75	$972.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	11	$138.07	$48.46
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	12	$739.33	$324.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	53	47	$170.10	$78.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	43	$97.12	$47.86
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	33	29	$551.00	$154.76
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	31	29	$647.70	$292.63
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	25	24	$491.00	$212.47
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	12	11	$772.09	$179.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	81	73	$144.00	$76.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	62	$95.00	$46.05
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	54	53	$625.00	$309.30
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	48	42	$551.00	$155.71
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	23	23	$491.00	$211.30
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	12	$677.00	$165.08
11100 Biopsy of single growth of skin and/or tissue	12	11	$212.00	$103.38
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	11	$420.00	$97.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	116	102	$144.00	$76.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	56	$95.00	$45.89
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	43	41	$625.00	$304.34
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	42	36	$551.00	$146.72
11100 Biopsy of single growth of skin and/or tissue	24	23	$212.00	$96.56
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	19	17	$533.00	$225.77
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	17	16	$677.00	$161.54
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	16	14	$491.00	$182.95
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	12	$945.00	$225.71
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	11	$751.00	$230.19

Medical Specialties & State Licenses

CMS Verified: 2025-02-19

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License IL 036134552

A surgeon who specializes in plastic and reconstructive surgery.

Plastic Surgery - Surgery of the Hand

NUCC Taxonomy Code: 2082S0105X

State License IL 036134552

A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Hospital & Practice Group Affiliations

Bloom Plastic Surgery Sc

1 E Delaware Pl, Chicago, IL 606111666

Phone: 3125498961

Secondary Practice Locations

12 Salt Creek Ln Ste 125

Hinsdale, IL 605218646

Phone: 3125498691

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Kathryn Garity

Nurse Practitioner

NPI 1073448668

Megan Hosking , PA-C

Physician Assistant

NPI 1902373301

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

📍

Updated Practice Location February 19, 2025

Registered at 1 E DELAWARE PL STE 501, CHICAGO, IL 606111666 (Tel: 3125498691)

👤

Provider Name / Credentials Updated February 19, 2025

Recorded as JACOB BLOOM, MD

📍

Updated Practice Location April 25, 2019

Registered at 1 E DELAWARE PL STE 501, CHICAGO, IL 60611 (Tel: 3125353721)

📍

Updated Business Mailing Address April 25, 2019

Registered at 1 E DELAWARE PL STE 501, CHICAGO, IL 606111666 (Tel: 3125353721)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2019

Plastic Surgery (License #036134552 in IL)

✅

NPI Profile Active January 16, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 16, 2014

Registered at 830 BOYLSTON ST, SUITE 212, CHESTNUT HILL, MA 024672503 (Tel: 6177391972)

📍

Updated Business Mailing Address January 16, 2014

Registered at 180 BROOKLINE AVE, APT 640, BOSTON, MA 022153938 (Tel: 8478269239)

👤

Provider Name / Credentials Updated January 16, 2014

Recorded as JACOB BLOOM, M.D., M.S.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2014

Surgery (License #MA254962 in MA)

🟢

Initial NPI Registration & Enumeration April 16, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770757130

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 16, 2008

Last Update: February 19, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 E Delaware Pl Ste 501

Chicago, IL 606111666

Phone: 3125353721

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.