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BARRY BLUM MD
NPI 1295839595
Orthopaedic Surgery in Kailua-kona, HI

Active since September 08, 2006PECOS EnrolledAccepts Medicare Assignment
78-6831 ALI'I DRIVE, SUITE 328, KAILUA-KONA, HI 96740(808) 747-8321(808) 322-6005 Get Directions Write a Review

NPPES record last updated: June 12, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Barry Blum Md NPPES

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

BARRY BLUM MD (NPI 1295839595) is an individual orthopaedic surgery provider in Kailua-kona, Hawaii, licensed in Hawaii (MD3340) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Rochester School Of Medicine And Dentistry (1965).

NPPES Registry Identity

NPI1295839595
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameBARRY BLUMCredential: MD
Location Address78-6831 ALI'I DRIVE, SUITE 328Kailua-kona, HI 96740
Mailing Address78-6831 Ali'i Drive, Suite 328Kailua-kona, HI 96740 · (808) 747-8321 · Fax (808) 331-8682
Phone(808) 747-8321
Fax(808) 322-6005
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1965
Enumeration DateSeptember 8, 2006
Last NPPES UpdateJune 12, 2012
✔ NPI 1295839595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in HI · MD3340✔ Licensed in CA · G15800
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
78-6831 ALI'I DRIVE, Kailua-kona, HI 96740
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Other Identifiers 6

Medicare UPINA39621
Medicare PIN0000BDMGTHI
Medicaid21856HI
Medicare NSC0422100001HI
Other00024190HI · Hmsa
Medicare PINH103642

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.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

Barry Blum Md 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 ID5991730129
PECOS Enrollment IDI20050927000920
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
68 services16 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.
36 services21 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
20 services13 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
17 services13 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96740 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
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%154 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

EDWIN P. HERD MD
Pediatrics
78-6831 ALI'I DRIVE, SUITE 328
KAILUA-KONA, HI 96740
Hawaii County (808) 747-8321
MRS. MARIA CECILA OKA APRN
Nurse Practitioner (Family)
78-6831 ALI'I DRIVE, SUITE 422
KAILUA-KONA, HI 96740
Hawaii County (808) 747-8321
KENNETH W SMITH DO
Orthopaedic Surgery
78-6831 ALI'I DRIVE, SUITE 422
KAILUA-KONA, HI 96740
Hawaii County (808) 747-8321
DR. LY M. GAU DO
Family Medicine (Geriatric Medicine)
78-6831 ALI'I DRIVE, SUITE 328
KAILUA-KONA, HI 96740
Hawaii County (808) 747-8321
DR. ANDREW A. FEDDER MD
Surgery
78-6831 ALI'I DRIVE, SUITE 422
KAILUA-KONA, HI 96740
Hawaii County (808) 747-8321
DR. UNPOK JOHN CHOE MD
Internal Medicine (Geriatric Medicine)
78-6831 ALI'I DRIVE, SUITE 328
KAILUA-KONA, HI 96740
Hawaii County (808) 747-8321

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 Barry Blum's NPI number?

The NPI number for Barry Blum is 1295839595. It was assigned to this individual provider in the NPPES registry on September 8, 2006.

Where is Barry Blum located?

Barry Blum practices at 78-6831 Ali'i Drive Suite 328, Kailua-Kona, HI 96740. The listed phone number is (808) 747-8321.

What is Barry Blum's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Barry Blum enrolled in Medicare?

Yes. Barry Blum 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 Barry Blum accept?

Health plans from HMSA list Barry Blum 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.

When was this NPI record last updated?

The NPPES record for Barry Blum was last updated on June 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.