Active NPI 1720670482 Individual Practitioner Male Practitioner

Shane Taylor Bloom , PA

Physician Assistant • Lincoln, NE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shane Bloom, PA is a certified Physician Assistant practicing in Lincoln, NE. With approximately 5 years of clinical experience since graduating from University Of Nebraska College Of Medicine in 2021, Shane Bloom delivers high-quality medical care to the local community at 1500 S 48TH ST STE 800.

Shane Bloom maintains professional affiliations with Neurological And Spinal Surgery Llc, Nebraska Orthopaedic Center Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include x-ray of lower and sacral spine, minimum of 4 views, established patient outpatient office visit, 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

1500 S 48th St Ste 800

Lincoln, NE 685061200

Telephone 4024838600

Fax 4024838689

Associated Practice Facility / Clinic

🏢 Pulmonary Medicine Of Lincoln, Pc Facility NPI 1336185248

Medicare Profile & Education

Medical School

University Of Nebraska College Of Medicine

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lincoln, NE

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

5 Yrs -5.2 yrs vs City Avg

City Avg: 10.2 Yrs

State Avg: 14.6 Yrs

Regional Practice Density

300 Specialists

Practicing in Lincoln, NE (1366 Statewide)

Telehealth Adoption Rate

4.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

87.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bloom (5 Years) 5 Yrs

Lincoln Specialty Average (10.2 Years) 10.2 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
72110 X-ray of lower and sacral spine, minimum of 4 views	69	66	$202.07	$41.39
99213 Established patient office or other outpatient visit, typically 15 minutes	64	58	$214.00	$73.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	57	$305.00	$104.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$396.51	$132.57
22614 Fusion of additional segment of spine	25	11	$1164.00	$46.54
72100 X-ray of lower and sacral spine, 2-3 views	22	20	$145.55	$31.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$262.00	$90.16
72148 MRI scan of lower spinal canal	18	18	$922.00	$119.55
72050 X-ray of upper spine, 4 or 5 views	18	18	$216.00	$43.34
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	18	11	$656.00	$30.67
22842 Placement of stabilizing device to back, 3-6 spine bone segments	12	12	$2272.00	$90.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$395.27	$108.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	98	$305.00	$100.36
72110 X-ray of lower and sacral spine, minimum of 4 views	73	72	$204.00	$40.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$394.00	$127.13
22614 Fusion of additional segment of spine	25	12	$1164.00	$44.86
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	25	25	$3259.00	$98.78
72100 X-ray of lower and sacral spine, 2-3 views	24	18	$141.83	$29.37
99213 Established patient office or other outpatient visit, typically 15 minutes	24	21	$214.00	$70.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$394.00	$101.48
22612 Fusion of spine in lower back	16	16	$4712.00	$151.77
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	16	12	$656.00	$29.65
22842 Placement of stabilizing device to back, 3-6 spine bone segments	15	15	$2272.00	$87.63
63048 Partial removal of spine bone with release of spinal cord and/or nerves	12	11	$632.00	$24.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$305.00	$76.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	231	208	$201.48	$102.29
99213 Established patient office or other outpatient visit, typically 15 minutes	132	128	$144.94	$68.11
72110 X-ray of lower and sacral spine, minimum of 4 views	29	29	$204.00	$40.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$373.39	$131.31
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	13	13	$22.04	$12.20
72100 X-ray of lower and sacral spine, 2-3 views	12	12	$150.00	$31.48
99442 Telephone medical discussion with physician, 11-20 minutes	11	11	$125.29	$60.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	334	303	$122.00	$103.63
99213 Established patient office or other outpatient visit, typically 15 minutes	203	198	$87.50	$70.98
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	23	23	$15.25	$12.27
99442 Telephone medical discussion with physician, 11-20 minutes	17	17	$85.87	$69.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	12	$67.38	$57.27

Medical Specialties & State Licenses

CMS Verified: 2021-03-25

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NE 2570

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Nebraska Orthopaedic Center Pc

6900 A St, Lincoln, NE 685104120

Neurological And Spinal Surgery Llc

2222 S 16th St, Lincoln, NE 685023762

Phone: 4024883002

Nebraska Orthopaedic Center Pc

575 S 70th St, Lincoln, NE 685102471

Phone: 4024362000

Nebraska Orthopaedic Center Pc

1900 F St, Geneva, NE 683612229

Phone: 4027593167

Nebraska Orthopaedic Center Pc

2300 S 16th St, Lincoln, NE 685023704

Phone: 4024751011

Practice Associates & Co-Workers

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

39 Associated Practitioners

Miata Wallace , PA

Physician Assistant

NPI 1013656990

Physician Assistant

Dr. Jeffrey Jarrett , MD

Internal Medicine - Pulmonary Disease

NPI 1023026663

Doctor of Medicine (M.D.)

Larissa Hunsberger , PA-C

Physician Assistant

NPI 1033567912

Physician Assistant (Certified)

Dr. Kevin Reichmuth , MD

Internal Medicine - Pulmonary Disease

NPI 1073576229

Doctor of Medicine (M.D.)

Michelle Tyser , PA

Physician Assistant

NPI 1083698518

Physician Assistant

Dr. Radu Neamu , MD

Internal Medicine - Pulmonary Disease

NPI 1083895577

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 04, 2021

NPI status registered as active in NPPES database

📍

Updated Practice Location February 04, 2021

Registered at 1500 S 48TH ST STE 800, LINCOLN, NE 685061200 (Tel: 4024838600)

📍

Updated Business Mailing Address February 04, 2021

Registered at 1500 S 48TH ST STE 800, LINCOLN, NE 685061200 (Tel: 4024838600)

👤

Provider Name / Credentials Updated February 04, 2021

Recorded as SHANE BLOOM, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2021

Physician Assistant (License #2570 in NE)

🟢

Initial NPI Registration & Enumeration February 04, 2021

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: 1720670482

Entity Type:

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

Enumeration Date: February 04, 2021

Last Update: March 25, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1500 S 48th St Ste 800

Lincoln, NE 685061200

Phone: 4024838600

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.