WILLIAM G. BLUM M.D.
NPI 1013922863
Internal Medicine - Hematology & Oncology in Atlanta, GA

Active since July 30, 2006PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1365 CLIFTON RD NE BLDG C, ATLANTA, GA 30322(404) 778-7408 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 30, 2017 (3 updates tracked since 2017).

About William G. Blum M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM G. BLUM M.D. (NPI 1013922863) is an individual hematology & oncology provider in Atlanta, Georgia, licensed in Georgia (078757) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1013922863
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameWILLIAM G. BLUMCredential: M.D.
Location Address1365 CLIFTON RD NE BLDG CAtlanta, GA 30322-1280
Mailing Address1365 Clifton Rd, Building CAtlanta, GA 30322 · (404) 778-7408
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1997
Enumeration DateJuly 30, 2006
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1013922863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses Licensed in GA · 078757 Licensed in OH · 35.083044
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License 35083044 (OH)
1365 CLIFTON RD NE BLDG C, Atlanta, GA 30322

Secondary Practice Location 1

Location 1320 W 10th Ave, B310 Starling Loving HallColumbus, OH 43210-1280 · Phone (614) 293-9165 · Fax (614) 293-7526

Other Identifiers 1

Medicaid2448515OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

William G. Blum M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375444664
PECOS Enrollment IDI20170919001563
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
66 services38 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
61 services38 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
52 services30 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
31 services13 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality73.83
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers20 claims1,095 services$0.35 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers20 claims20 services$18.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Obstetrics & Gynecology)
1365 CLIFTON RD NE BLDG C
ATLANTA, GA 30322
Nurse Practitioner (Family)
1365 CLIFTON RD NE BLDG C, SUITE 2126
ATLANTA, GA 30322
Internal Medicine (Hematology & Oncology)
1365 CLIFTON RD NE BLDG C
ATLANTA, GA 30322
Internal Medicine (Hematology & Oncology)
1365 CLIFTON RD NE BLDG C
ATLANTA, GA 30322
Physician Assistant
1365 CLIFTON RD NE BLDG C
ATLANTA, GA 30322
Nurse Practitioner (Adult Health)
1365 CLIFTON RD NE BLDG C
ATLANTA, GA 30322
Physician Assistant (Medical)
1365 CLIFTON RD NE BLDG C
ATLANTA, GA 30322
Internal Medicine (Hematology & Oncology)
1365 CLIFTON RD NE BLDG C
ATLANTA, GA 30322

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013922863, enumerated as an "individual" on July 30, 2006.

The provider is located at 1365 CLIFTON RD NE BLDG C ATLANTA, GA 30322 and the phone number is (404) 778-7408.

Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.

William Blum is affiliated with: EMORY UNIVERSITY HOSPITAL and EMORY UNIVERSITY HOSPITAL MIDTOWN.