DEBORAH BLUME PA NPI 1003015686
Physician Assistant in Springfield, MA

About DEBORAH BLUME PA

Deborah Blume is a primary care provider established in Springfield, Massachusetts and her medical specialization is Physician Assistant with more than 16 years of experience. The NPI number of this provider is 1003015686 and was assigned on July 2007. The practitioner's primary taxonomy code is 363A00000X with license number AP2356 (MA). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1003015686
Provider Name DEBORAH BLUME PA
Location Address3455 MAIN STREET SPRINGFIELD, MA 01199
Location Phone(413) 794-8777
Mailing Address280 CHESTNUT ST 2ND FLOOR SPRINGFIELD, MA 01199
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2007
Is Sole Proprietor?No
Enumeration Date07-13-2007
Last Update Date03-16-2011

A primary care provider (PCP) like Deborah Blume sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Deborah Blume 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), a Home Health Agency (HHA) and Power Mobility Devices.

Deborah Blume is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Cooley Dickinson Hospital Inc,the and Baystate Medical Center.

The typical physician office visit costs for Medicare beneficiaries in this area are: $23.51 for a new patient copayment and $19.15 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code363A00000X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.AP2356
License StateMA
Taxonomy DescriptionA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Business Address

3455 MAIN STREET
SPRINGFIELD, MA
ZIP 01199
Phone: (413) 794-8777

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Mailing Address

280 CHESTNUT ST
2ND FLOOR
SPRINGFIELD, MA
ZIP 01199
Phone: (413) 794-5700


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID1850485301
PECOS Enrollment IDI20070914000545
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 01199 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$61.32 $185.12 $94.07
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.33 $46.28 $23.51
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$19.31 $151.47 $76.6
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.82 $37.86 $19.15

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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.
1003015686
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030110616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 0 + 6 + 1 + 6 + 24 = 44
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 44 = 66

The NPI number 1003015686 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

What is Deborah Blume PA NPI number?

The NPI number assigned to this healthcare provider is 1003015686, registered as an "individual" on July 13, 2007

Where is Deborah Blume PA located?

The provider is located at 3455 Main Street Springfield, Ma 01199 and the phone number is (413) 794-8777

Which is Deborah Blume PA specialty?

The provider's speciality is Physician Assistant

How many years of experience does Deborah Blume PA have?

The provider has more than 16 years of experience.

Is Deborah Blume PA registered in PECOS?

Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Deborah Blume PA?

Medicare beneficiaries should expect a typical cost of $94.07 with an average copayment of $23.51 for new patient appointments. Established patients should expect a typical charge of $76.6 and an average copayment of 19.15. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

The NPI record of Deborah Blume PA was last updated on July 13, 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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