Doctor profile · Federal record
Dr. Shane Bloom, PA
Physician Assistant · Lincoln, NE
- NPI 1720670482
- Accepts Medicare
- MIPS 91.0 / 100 · 2023
- 5 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1500 S 48Th St Ste 800
Lincoln, NE 685061200
(402) 483-8600
fax (402) 483-8689
Credentials & registration
- NPI registered
- February 2021 — 5 yrs on file
- Profile last updated
- March 25, 2021
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Nebraska #2570
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1720670482. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
417
Distinct HCPCS
10
Medicare allowed
$33,388
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 99 | 98 | $100 | |
72110 |
X-ray of lower and sacral spine, minimum of 4 views | 73 | 72 | $40 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 54 | 54 | $127 | |
22614 |
Fusion of additional segment of spine | 25 | 12 | $45 | |
63047 |
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 25 | 25 | $99 | |
72100 |
X-ray of lower and sacral spine, 2-3 views | 24 | 18 | $29 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 24 | 21 | $71 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 22 | 22 | $101 | |
22612 |
Fusion of spine in lower back | 16 | 16 | $152 | |
22853 |
Insertion of cage or mesh device to spine bone and disc space during spine fusion | 16 | 12 | $30 |
In context: peer comparison
Among 85 peers in Lincoln Physician Assistant, average services per provider: 133. This provider delivers 3.1× the peer median.Open Payments
Industry payments received
All-time total
$44
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Djo, LLC | 1 | $16.21 | |
| Medtronic, INC. | 1 | $13.98 | |
| Amgen INC. | 1 | $13.46 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
18
Patients
0
Total drug cost
$16,369
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 18 | 0 | $16,369 |
Hospital affiliations
Frequently asked questions
What is Dr. Shane Bloom's medical specialty?
Dr. Shane Bloom practices Physician Assistant in Lincoln, NE.
Where does Dr. Shane Bloom practice?
Dr. Shane Bloom practices at 1500 S 48Th St Ste 800, Lincoln, NE 685061200. Office phone: 4024838600.
What is Dr. Shane Bloom's NPI?
Dr. Shane Bloom's National Provider Identifier (NPI) is 1720670482, issued by NPPES.
Does Dr. Shane Bloom accept Medicare assignment?
Yes. Dr. Shane Bloom accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shane Bloom commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); X-ray of lower and sacral spine, minimum of 4 views (HCPCS 72110); New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.