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Glen Daniel Blomstrom, M.D.

NPI 1336378991ActiveIndividual· Emergency Medicine· Waterbury, CT

Emergency Medicine (M.D.) with Bridgeport Hospital and 1 other group, practicing in Waterbury, Connecticut. 255 Medicare patients in 2024, $41,323 paid; nearly all of their 182 Part D prescriptions were generic (93%). Intra-Sana Laboratories reported $19.64 in payments in 2025, mostly food and beverage. Lists Danbury Hospital as a hospital affiliation.

Overview

NPI1336378991
StatusActive
Entity typeIndividual
CredentialM.D.
Sole proprietorNo
NPI issuedJul 3, 2009
Last updated in NPPESNov 11, 2021
Certified by providerNov 11, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Emergency Medicine Primary207P00000X051665CT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Emergency Medicine (CT)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients255
Services billed297 across 12 procedure codes
Paid by Medicare$41,323

Part D prescriptions in 2024

Prescriptions (claims)182 · 191 30-day fills
Patients77
Total drug cost$4,133
Generic share93% of claims

Medicare sources and data years

Education and affiliations

Graduation year2009
Medicare specialtyEmergency Medicine

Medical groups

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$19.64 · 1 payment from 1 company
  • 2024$25.46 · 1 payment from 1 company

Top paying companies in 2025

CompanyAmountPayments
Intra-Sana Laboratories$19.641

What the 2025 payments were for

  • Food and Beverage$19.64 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Emergency Medicine providers in Waterbury

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