Active NPI 1376501940 Individual Practitioner Male Practitioner

Dr. Dennis Blom , MD

Surgery • Utica, NY

Professional Overview & Biography Verified Profile Summary

Dr. Dennis Blom, MD is a registered healthcare professional specializing in Surgery in Utica, NY. Practice services are available at 2202 GENESEE ST under active NPI credentials.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, removal of skin and tissue, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2202 Genesee St

Utica, NY 13502

Telephone 3157320349

Fax 3157320309

Associated Practice Facility / Clinic

🏢 Central New York Surgical, Pc Facility NPI 1922357714

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Utica, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 22.4 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

18 Specialists

Practicing in Utica, NY (2269 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	380	85	$252.10	$102.06
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	188	62	$252.10	$102.06
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	120	61	$174.94	$70.54
11042 Removal of skin and tissue, 20.0 sq cm or less	101	40	$336.90	$51.38
11042 Removal of skin and tissue, 20.0 sq cm or less	98	39	$336.90	$116.40
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	72	45	$94.54	$38.11
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	70	41	$174.94	$70.54
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	51	24	$574.74	$142.63
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	47	17	$574.74	$218.95
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	34	21	$94.54	$38.11
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	32	32	$308.50	$126.38
97597 Removal of tissue from wound, 20.0 sq cm or less	32	18	$264.42	$95.04
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	24	23	$308.50	$126.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	26	$501.00	$116.49
45380 Biopsy of large bowel using an endoscope	26	26	$622.12	$177.12
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	19	19	$205.00	$5.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	40	39	$581.33	$109.70
99213 Established patient office or other outpatient visit, typically 15 minutes	31	24	$126.84	$64.66
45380 Biopsy of large bowel using an endoscope	25	25	$704.94	$125.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	19	$96.11	$39.86
91010 Study of esophagus to assess movement	18	18	$345.00	$158.78
91034 Monitoring and recording of gastroesophageal reflux through nose including analysis and interpretation	16	16	$275.00	$167.10
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$800.17	$251.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$229.00	$121.50
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$437.41	$181.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	81	56	$123.95	$63.46
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	40	40	$696.45	$101.78
45380 Biopsy of large bowel using an endoscope	38	38	$1007.55	$165.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$177.88	$97.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$240.38	$152.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	21	$89.22	$39.66
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	23	23	$85.00	$5.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$249.61	$121.24
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	16	$442.00	$175.57
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$136.89	$69.30

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 196361

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License IN 1060363A

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

03107559 (NY)

Secondary Practice Locations

180 Sawgrass Dr Ste 220

Rochester, NY 146204651

Phone: 5852421380

Practice Associates & Co-Workers

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

2 Associated Practitioners

Jon Agricola

Durable Medical Equipment & Medical Supplies

NPI 1447747100

Dr. Louis Debroize , PhD

Counselor - Mental Health

NPI 1578881744

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2018

Surgery (License #1060363A in IN)

✅

NPI Profile Active May 02, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 02, 2013

Registered at 2202 GENESEE ST, UTICA, NY 13502 (Tel: 3157320349)

📍

Updated Business Mailing Address May 02, 2013

Registered at 2202 GENESEE ST, UTICA, NY 13502 (Tel: 3157320349)

👤

Provider Name / Credentials Updated May 02, 2013

Recorded as DENNIS BLOM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2013

Surgery (License #196361 in NY)

🟢

Initial NPI Registration & Enumeration May 03, 2006

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: 1376501940

Entity Type:

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

Enumeration Date: May 03, 2006

Last Update: September 11, 2018

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2202 Genesee St

Utica, NY 13502

Phone: 3157320349

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.