Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Jacob Maxwell-Phillip Bloom , MD

Surgery - Plastic and Reconstructive Surgery • Chicago, IL

Active NPI 1770757130 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1 E Delaware Pl Ste 501
Chicago, IL 606111666

Call 3125498691 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1 E Delaware Pl Ste 501

Chicago, IL 606111666

Telephone 3125498691
Fax 3125498692
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Hinsdale, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Bloom Plastic Surgery Sc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2008

Medicare patients

89 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $14,693 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $11,185 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

59 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$340 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $27.30 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

Years since graduation

18 years (graduated 2008)

CMS Doctors and Clinicians data list 2008 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Bloom has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Bloom as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Chicago and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Surgery - Plastic and Reconstructive Surgery in Chicago, IL (2024, 18 clinicians with data). Median for this group: 101. Middle half: 26 to 142.

Close to the middle for clinicians listed under Surgery - Plastic and Reconstructive Surgery in Illinois (2024, 48 clinicians with data). Median for this group: 109. Middle half: 30 to 175.

Medicare-allowed amount

A higher Medicare-allowed amount than 70% of clinicians listed under Surgery - Plastic and Reconstructive Surgery in Chicago, IL (2024, 18 clinicians with data). Median for this group: $7,068. Middle half: $3,714 to $16,613.

A higher Medicare-allowed amount than 65% of clinicians listed under Surgery - Plastic and Reconstructive Surgery in Illinois (2024, 48 clinicians with data). Median for this group: $9,622. Middle half: $3,407 to $34,524.

Paid by Medicare

A higher Medicare payment amount than 70% of clinicians listed under Surgery - Plastic and Reconstructive Surgery in Chicago, IL (2024, 18 clinicians with data). Median for this group: $5,362. Middle half: $2,774 to $13,245.

A higher Medicare payment amount than 65% of clinicians listed under Surgery - Plastic and Reconstructive Surgery in Illinois (2024, 48 clinicians with data). Median for this group: $7,142. Middle half: $2,580 to $26,338.

Medicare Part D prescriptions

More Part D prescriptions than 80% of clinicians listed under Surgery - Plastic and Reconstructive Surgery in Chicago, IL (2024, 17 clinicians with data). Median for this group: 20. Middle half: 13 to 51.

More Part D prescriptions than 65% of clinicians listed under Surgery - Plastic and Reconstructive Surgery in Illinois (2024, 45 clinicians with data). Median for this group: 39. Middle half: 15 to 78.

Part D drug cost

A higher Part D drug cost than 75% of clinicians listed under Surgery - Plastic and Reconstructive Surgery in Chicago, IL (2024, 17 clinicians with data). Median for this group: $168. Middle half: $117 to $340.

A higher Part D drug cost than 65% of clinicians listed under Surgery - Plastic and Reconstructive Surgery in Illinois (2024, 45 clinicians with data). Median for this group: $192. Middle half: $105 to $538.

71 active clinicians are listed under Surgery - Plastic and Reconstructive Surgery with a practice address in Chicago, IL (135 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chicago

8.5% of these 71 clinicians have the CMS telehealth indicator.

47.9% of these 71 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $27.30.

Manufacturer Payment Nature Product Type Amount ($)
ABBVIE INC.
Food and Beverage
In-kind items and services
BOTOX General $27.30

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
62 41 $287.58 $93.53
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less
25 23 $1287.36 $267.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
19 19 $361.56 $115.99

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Cephalexin Cephalexin 32 152 $220.66 30
Acetaminophen-Codeine Acetaminophen With Codeine 27 100 $119.07 26

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-02-19
Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

License # reported to NPPES IL 036134552

A surgeon who specializes in plastic and reconstructive surgery.

Plastic Surgery - Surgery of the Hand

NUCC Taxonomy Code: 2082S0105X

License # reported to NPPES IL 036134552

A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PLASTIC AND RECONSTRUCTIVE SURGERY

Medicare Enrollment ID

I20140702001968

Enrollment State Jurisdiction

IL

PECOS Control ID

9739304981

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Bloom Plastic Surgery Sc

1 E Delaware Pl, Chicago, IL 606111666

Phone: 3125498961

Secondary Practice Locations

12 Salt Creek Ln Ste 125

Hinsdale, IL 605218646

Phone: 3125498691

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Megan Hosking , PA-C

Physician Assistant

NPI 1902373301

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
📍
Updated Practice Location February 19, 2025

Registered at 1 E DELAWARE PL STE 501, CHICAGO, IL 606111666 (Tel: 3125498691)

👤
Provider Name / Credentials Updated February 19, 2025

Recorded as JACOB BLOOM, MD

📍
Updated Practice Location April 25, 2019

Registered at 1 E DELAWARE PL STE 501, CHICAGO, IL 60611 (Tel: 3125353721)

📍
Updated Business Mailing Address April 25, 2019

Registered at 1 E DELAWARE PL STE 501, CHICAGO, IL 606111666 (Tel: 3125353721)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2019

Plastic Surgery (license number reported to NPPES: IL 036134552)

âś…
NPI Profile Active January 16, 2014

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) January 16, 2014

Registered at 830 BOYLSTON ST, SUITE 212, CHESTNUT HILL, MA 024672503 (Tel: 6177391972)

📍
Business Mailing Address (Initial Record) January 16, 2014

Registered at 180 BROOKLINE AVE, APT 640, BOSTON, MA 022153938 (Tel: 8478269239)

👤
Provider Name / Credentials (Initial Record) January 16, 2014

Recorded as JACOB BLOOM, M.D., M.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2014

Surgery (license number reported to NPPES: MA MA254962)

🟢
Initial NPI Registration & Enumeration April 16, 2008

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1770757130
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 16, 2008
Last Update: February 19, 2025
Sole Proprietor: No

Other Surgery - Plastic and Reconstructive Surgery Specialists in Chicago

All Surgery - Plastic and Reconstructive Surgery Specialists in Chicago

Mailing Address

1 E Delaware Pl Ste 501

Chicago, IL 606111666

Phone: 3125353721

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.