DR. JOHN R BLUMER M.D.
NPI 1245207315
Otolaryngology in Charlotte, NC

Q: What is John Blumer's NPI number?

The NPI number for John Blumer is 1245207315. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Q: What is John Blumer's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for John Blumer was last updated on March 31, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 07, 2006PECOS Enrolled

95.35/100

CMS Quality Rating

6035 FAIRVIEW RD, CHARLOTTE, NC 28210(704) 295-3000(704) 838-8494 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 31, 2021, May 3, 2018 (2 updates tracked since 2018).

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About Dr. John R Blumer M.d. NPPES

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

DR. JOHN R BLUMER M.D. (NPI 1245207315) is an individual otolaryngology provider in Charlotte, North Carolina, licensed in North Carolina (35841) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245207315

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameDR. JOHN R BLUMERCredential: M.D.

Location Address6035 FAIRVIEW RDCharlotte, NC 28210-3256

Mailing Address6035 Fairview RdCharlotte, NC 28210-3256 · (704) 295-3000 · Fax (704) 838-8494

Phone(704) 295-3000

Fax(704) 838-8494

Sole ProprietorNo

Enumeration DateMarch 7, 2006

Last NPPES UpdateMarch 31, 20212 updates tracked since enumeration

NPPES CertifiedMarch 31, 2021

✔ NPI 1245207315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in NC · 35841

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

6035 FAIRVIEW RD, Charlotte, NC 28210

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Other Identifiers 14

Other44672NC · Medcost

MedicaidN35841SC

Other01146087SC · Amerigroup Community Care

Other16393NC · Bcbs

Other26674NC · Wellpath

Other4570715Aetna

Other20087248SC · Select Health Of Sc/first Choice

Medicaid8916393NC

Other9466Partners Select Care

Other11317NC · Doctors Health Plan

Other141024Coventry Healthcare Hmo

Other276567Mamsi

Other5703439003NC · Cigna

Other771567SC · Wellcare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John R Blumer M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28210 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

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.

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.

95.35/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.22

Promoting Interoperability

100

Improvement Activities

Leave this field empty

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.

LUKAS DAVID DUMBERGER MD

Otolaryngology