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GIDEON BLUMSTEIN MD, MS
NPI 1164819207
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Marina Del Rey, CA

Active since April 15, 2015PECOS EnrolledAccepts Medicare Assignment
85.71/100
CMS Quality Rating
4640 ADMIRALTY WAY STE 600, MARINA DEL REY, CA 90292(310) 448-7890 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 15, 2022, Jul 28, 2021, May 6, 2021 and 1 more (4 updates tracked since 2018).

About Gideon Blumstein Md, Ms NPPES

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

GIDEON BLUMSTEIN MD, MS (NPI 1164819207) is an individual orthopaedic surgery of the spine provider in Marina Del Rey, California, licensed in California (A149225) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Southern California Keck School Of Medicine (2015).

NPPES Registry Identity

NPI1164819207
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameGIDEON BLUMSTEINCredential: MD, MS
Location Address4640 ADMIRALTY WAY STE 600Marina Del Rey, CA 90292-6638
Mailing Address10833 Le Conte Ave Rm 76-143Los Angeles, CA 90095-3075 · (310) 825-6557
Phone(310) 448-7890
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2015
Enumeration DateApril 15, 2015
Last NPPES UpdateDecember 15, 20224 updates tracked since enumeration
NPPES CertifiedDecember 15, 2022
✔ NPI 1164819207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
Licenses✔ Licensed in CA · A149225✔ Licensed in IL · 036.155746
Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4640 ADMIRALTY WAY STE 600, Marina Del Rey, CA 90292
Open in Google Maps ↗

Secondary Practice Locations 2

Location 110833 Le Conte Ave Rm 76-143Los Angeles, CA 90095-3075 · Phone (310) 825-6557
Location 21611 W Harrison St Ste 201Chicago, IL 60612-4861 · Phone (312) 563-6306 · Fax (312) 942-2040

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

Gideon Blumstein Md, Ms 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 ID3971855362
PECOS Enrollment IDI20221110001221
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 6

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

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.
78 services78 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.
59 services45 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.
29 services29 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.
14 services12 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.
12 services11 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.
11 services11 patients

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.

85.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.67
Promoting Interoperability100
Improvement Activities40
Cost61.47

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gideon Blumstein's NPI number?

The NPI number for Gideon Blumstein is 1164819207. It was assigned to this individual provider in the NPPES registry on April 15, 2015.

Where is Gideon Blumstein located?

Gideon Blumstein practices at 4640 Admiralty Way Ste 600, Marina Del Rey, CA 90292. The listed phone number is (310) 448-7890.

What is Gideon Blumstein's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Gideon Blumstein enrolled in Medicare?

Yes. Gideon Blumstein is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Gideon Blumstein was last updated on December 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.