Active NPI 1477536068 Individual Practitioner Male Practitioner

Dr. Kenneth Edward Bloom , MD

Dermatology • Bronx, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Bloom, MD is a certified Dermatology practicing in Bronx, NY. With approximately 42 years of clinical experience since graduating from Rush Medical College Of Rush University in 1984, Dr. Bloom delivers high-quality medical care to the local community at 1455 WEST AVE.

Dr. Bloom accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, injection, triamcinolone acetonide, not otherwise specified, 10 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1455 West Ave

Bronx, NY 104627304

Telephone 7182391500

Fax 2127653210

Associated Practice Facility / Clinic

🏢 Advanced Dermatology Of New York, P.c. Facility NPI 1497017552

Medicare Profile & Education

Medical School

Rush Medical College Of Rush University

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Bronx, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +16.2 yrs vs City Avg

City Avg: 25.8 Yrs

State Avg: 28.4 Yrs

Regional Practice Density

40 Specialists

Practicing in Bronx, NY (1289 Statewide)

Telehealth Adoption Rate

17.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

28.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bloom (42 Years) 42 Yrs

Bronx Specialty Average (25.8 Years) 25.8 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	29	16	$144.00	$103.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$181.00	$128.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$248.97	$131.61
99213 Established patient office or other outpatient visit, typically 15 minutes	23	14	$188.58	$98.56
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$160.38	$85.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$238.70	$137.04
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$175.38	$109.48
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$135.53	$82.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	27	23	$163.41	$110.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$259.83	$136.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	44	13	$38.00	$1.44
99213 Established patient office or other outpatient visit, typically 15 minutes	37	33	$179.00	$89.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$268.00	$128.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$268.00	$127.29
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	47	22	$38.00	$1.61
99213 Established patient office or other outpatient visit, typically 15 minutes	41	31	$179.00	$86.03
11901 Injection into skin growth, more than 7 growths	13	12	$250.00	$78.98
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$187.00	$89.54
17110 Destruction of up to 14 skin growths	11	11	$301.00	$108.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$268.00	$124.78
99213 Established patient office or other outpatient visit, typically 15 minutes	62	51	$179.00	$83.04
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	33	19	$38.00	$1.82
11100 Biopsy of single growth of skin and/or tissue	16	16	$281.00	$116.77
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$187.00	$86.23
11901 Injection into skin growth, more than 7 growths	13	12	$250.00	$80.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$409.00	$188.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$268.00	$122.90
99202 New patient office or other outpatient visit, typically 20 minutes	49	49	$187.00	$85.66
99213 Established patient office or other outpatient visit, typically 15 minutes	38	33	$179.00	$83.03
11100 Biopsy of single growth of skin and/or tissue	15	15	$281.00	$109.12
17110 Destruction of up to 14 skin growths	14	14	$283.07	$96.61
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	13	11	$38.00	$1.82

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License NY 169466

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

04134401 (NY)

Secondary Practice Locations

2100 Bartow Ave Ste 211

Bronx, NY 104754614

Phone: 7186711000

291 E 149th St

Bronx, NY 104515601

Phone: 7186711000

2432 Grand Concourse Rm 501

Bronx, NY 104585204

Phone: 7185375000

Practice Associates & Co-Workers

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

5 Associated Practitioners

Mike David

Physician Assistant

NPI 1013469295

Dr. Richard Green , MD

Dermatology

NPI 1154301000

Doctor of Medicine (M.D.)

Matthew Hislop , PA

Physician Assistant

NPI 1174062491

Physician Assistant

Angela Libranti , PA

Physician Assistant

NPI 1497240675

Physician Assistant

Dr. James Icken , MD

Dermatology

NPI 1730156225

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location August 22, 2019

Registered at 1455 WEST AVE, BRONX, NY 104627304 (Tel: 7182391500)

📍

Updated Business Mailing Address August 22, 2019

Registered at 200 CENTRAL PARK S APT 107, NEW YORK, NY 100191449 (Tel: 2122622500)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2019

Dermatology (License #169466 in NY)

✅

NPI Profile Active April 18, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 18, 2016

Registered at 2601 OCEAN PKWY, BROOKLYN, NY 112357745 (Tel: 7186163897)

📍

Updated Business Mailing Address April 18, 2016

Registered at 20 AVE AT PORT IMPERIAL, #202, WEST NEW YORK, NJ 070938417 (Tel: 7186163897)

👤

Provider Name / Credentials Updated April 18, 2016

Recorded as KENNETH BLOOM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2016

Dermatology (License #33969 in MN)

🟢

Initial NPI Registration & Enumeration November 28, 2005

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: 1477536068

Entity Type:

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

Enumeration Date: November 28, 2005

Last Update: August 22, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

200 Central Park S Apt 107

New York, NY 100191449

Phone: 2122622500

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.