DR. THOMAS BLOEM DDS, MS
NPI 1679628960
Dentist - Prosthodontics in Ann Arbor, MI
NPI Status: Active since January 24, 2007
Contact Information
5340 PLYMOUTH RD
SUITE 110
ANN ARBOR, MI
ZIP 48105
Phone: (734) 995-4699
Fax: (734) 995-9685
- Individual
- Male
- Dentist
- Prosthodontics
- PECOS Enrolled
About THOMAS BLOEM
This page provides the complete NPI Profile along with additional information for Thomas Bloem, a provider established in Ann Arbor, Michigan with a medical specialization in Dentist, focusing in prosthodontics . The healthcare provider is registered in the NPI registry with number 1679628960 assigned on January 2007. The practitioner's primary taxonomy code is 1223P0700X with license number 2901011268 (MI). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1679628960
- Provider Name
- DR. THOMAS BLOEM DDS, MS
- Other Name
- THOMAS BLOEM DDS, MS
- Other Name Type
- Professional Name (2)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5340 PLYMOUTH RD SUITE 110 ANN ARBOR, MI 48105
- Location Phone
- (734) 995-4699
- Location Fax
- (734) 995-9685
- Mailing Address
- 5340 PLYMOUTH RD SUITE 110 ANN ARBOR, MI 48105
- Mailing Phone
- (734) 995-4699
- Mailing Fax
- (734) 995-9685
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-24-2007
- Last Update Date
- 07-08-2007
- Code Navigator
A dentist like Thomas Bloem is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Prosthodontics
- Taxonomy Code
- 1223P0700X
- Type
- Dental Providers
- License No.
- 2901011268
- License State
- MI
- Taxonomy Description
- That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Medicare Participation & PECOS Enrollment Status
Thomas Bloem is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 48105 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.76
- Minimum New Patient Price $58.04
- Maximum New Patient Price $177.36
- Average New Patient Copayment $22.69
- Minimum New Patient Copayment $14.51
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $72.38
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $143.49
- Average Established Patient Copayment $18.09
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $35.87
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 7 | 9 | 6 | 2 | 8 | 9 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 14 | 9 | 12 | 2 | 16 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 4 + 9 + 1 + 2 + 2 + 1 + 6 + 9 + 1 + 2 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1679628960 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1306838404 | MS. SALLY ROSE SZYMANSKI DO Individual | Psychiatry & Neurology (Psychiatry) | 5340 PLYMOUTH RD SUITE 207 ANN ARBOR, MI 48105 (734) 649-4124 |
| 1558453449 | MR. ROBERT KROPF P.T Individual | Physical Therapist | 5340 PLYMOUTH RD SUITE 100 ANN ARBOR, MI 48105 (734) 913-4816 |
| 1326127192 | ELIZABETH ANN BUSCH P.T. Individual | Physical Therapist | 5340 PLYMOUTH RD SUITE 100 ANN ARBOR, MI 48105 (734) 913-4816 |
| 1083771117 | DR. DIANE M. GARTLAND PSY.D. Individual | Psychologist (Clinical) | 5340 PLYMOUTH RD SUITE 209 ANN ARBOR, MI 48105 (734) 302-0309 |
| 1003359126 | JENNIFER RATLIFF-MOSS LMSW, LLC Organization | Social Worker (Clinical) | 5340 PLYMOUTH RD SUITE 208 ANN ARBOR, MI 48105 (734) 905-6649 |
| 1003359928 | DR. AMY PAGGEOT PH.D. Individual | Psychologist (Clinical) | 5340 PLYMOUTH RD SUITE #210 ANN ARBOR, MI 48105 (734) 462-3210 |
| 1891197059 | JENNIFER ANN RATLIFF-MOSS Individual | Social Worker (Clinical) | 5340 PLYMOUTH RD STE 208 ANN ARBOR, MI 48105 (734) 905-6649 |
| 1992913784 | THOMAS J. BLOEM DDS MS PC Organization | Dentist (Prosthodontics) | 5340 PLYMOUTH RD SUITE 110 ANN ARBOR, MI 48105 (734) 995-4699 |
| 1316278609 | MS. LISA MICHELLE WILEY OTR Individual | Occupational Therapist | 5340 PLYMOUTH RD SUITE 100 ANN ARBOR, MI 48105 (734) 913-4816 |
| 1417668856 | KARLIN STERN LMSW Individual | Social Worker (Clinical) | 5340 PLYMOUTH RD ANN ARBOR, MI 48105 (248) 933-7732 |
| 1346715422 | MS. TAYLOR RAEANN JONES LLP Individual | Psychologist (Clinical) | 5340 PLYMOUTH RD ANN ARBOR, MI 48105 (734) 462-3210 |
| 1841943164 | KELSEY LYNN KIRK MS Individual | Psychologist | 5340 PLYMOUTH RD ANN ARBOR, MI 48105 (734) 462-3210 |
| 1669064028 | RILEY HALEK LLP Individual | Psychologist | 5340 PLYMOUTH RD ANN ARBOR, MI 48105 (734) 462-3210 |
| 1487461570 | TYLER SLY COUNSELING SERVICES Organization | Social Worker (Clinical) | 5340 PLYMOUTH RD ANN ARBOR, MI 48105 (810) 844-3247 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679628960, enumerated in the NPI registry as an "individual" on January 24, 2007
The provider is located at 5340 Plymouth Rd Suite 110 Ann Arbor, Mi 48105 and the phone number is (734) 995-4699
The provider's speciality is Dentist with taxonomy code 1223P0700X with a focus in Prosthodontics
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $90.76 with an average copayment of $22.69 for new patient appointments. Established patients should expect a typical charge of $72.38 and an average copayment of 18.09. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on January 24, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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