SUSAN HYMAN BLUMENTHAL PA
NPI 1235191826
Physician Assistant in Cary, NC

Active since April 06, 2006PECOS EnrolledAccepts Medicare Assignment
210 ASHVILLE AVE, CARY, NC 27518(919) 233-8585(919) 233-8566 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 11, 2023, May 26, 2020, Apr 9, 2020 (3 updates tracked since 2020).

About Susan Hyman Blumenthal Pa NPPES

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

SUSAN HYMAN BLUMENTHAL PA (NPI 1235191826) is an individual physician assistant in Cary, North Carolina, licensed in North Carolina (0010-01219) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1235191826
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSUSAN HYMAN BLUMENTHALCredential: PA
Location Address210 ASHVILLE AVECary, NC 27518-6600
Mailing AddressPo Box 603949Charlotte, NC 28260-3949 · (919) 350-0554
Fax(919) 233-8566
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateApril 6, 2006
Last NPPES UpdateJanuary 11, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2023
NPI 1235191826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-01219
Definition

A 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.

210 ASHVILLE AVE, Cary, NC 27518

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

Susan Hyman Blumenthal Pa 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 ID1658267075
PECOS Enrollment IDI20080808000237
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 2

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.

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.
343 services259 patients
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.
131 services105 patients

Hospital Affiliations CMS Care Compare 2

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

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Wakemed, Cary Hospital

Acute Care Hospitals · Cary, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340173
Location1900 Kildare Farm RoadCary, NC 27518 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27518 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

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

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
4 suppliers11 claims32 services$36.23 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 20

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

Internal Medicine (Cardiovascular Disease)
210 ASHVILLE AVE
CARY, NC 27518
Nurse Practitioner (Family)
210 ASHVILLE AVE
CARY, NC 27518
Obstetrics & Gynecology
210 ASHVILLE AVE
CARY, NC 27518
Internal Medicine
210 ASHVILLE AVE
CARY, NC 27518
Physician Assistant (Medical)
210 ASHVILLE AVE, SUITE 440
CARY, NC 27518
Obstetrics & Gynecology
210 ASHVILLE AVE
CARY, NC 27518
Nurse Practitioner
210 ASHVILLE AVE
CARY, NC 27518
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
210 ASHVILLE AVE
CARY, NC 27518

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 Susan Blumenthal's NPI number?

The NPI number for Susan Blumenthal is 1235191826. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Susan Blumenthal located?

Susan Blumenthal practices at 210 Ashville Ave, Cary, NC 27518. The listed phone number is (919) 233-8585.

What is Susan Blumenthal's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Susan Blumenthal enrolled in Medicare?

Yes. Susan Blumenthal 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.

What insurance does Susan Blumenthal accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Susan Blumenthal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Susan Blumenthal affiliated with any hospitals?

According to CMS data, Susan Blumenthal is affiliated with Wakemed, Raleigh Campus and Wakemed, Cary Hospital.

When was this NPI record last updated?

The NPPES record for Susan Blumenthal was last updated on January 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.