ADAM SPROUSE BLUM
NPI 1396090254
Psychiatry & Neurology - Neurology in Burlington, VT

Active since July 17, 2012PECOS EnrolledAccepts Medicare Assignment
111 COLCHESTER AVE, BURLINGTON, VT 05401(802) 847-2788 Get Directions Write a Review

NPPES record last updated: January 31, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Adam Sprouse Blum NPPES

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

ADAM SPROUSE BLUM (NPI 1396090254) is an individual neurology provider in Burlington, Vermont, licensed in Vermont (0420013047) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Univ. Of Vermont - Fletcher Allen Health Care, and is a graduate of University Of Hawaii John A. Burns School Of Medicine (2011).

NPPES Registry Identity

NPI1396090254
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameADAM SPROUSE BLUM
Location Address111 COLCHESTER AVEBurlington, VT 05401-1473
Mailing Address111 Colchester AveBurlington, VT 05401-1473 · (802) 847-2788
Sole ProprietorNo
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 2011
Enumeration DateJuly 17, 2012
Last NPPES UpdateJanuary 31, 2017
NPI 1396090254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in VT · 0420013047
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

111 COLCHESTER AVE, Burlington, VT 05401

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

Adam Sprouse Blum 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 ID1658692207
PECOS Enrollment IDI20150608001448
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 3

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 of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615
This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.
139 services47 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.
35 services32 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.
25 services22 patients

Hospital Affiliations CMS Care Compare

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

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05401 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
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

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.

Radiology (Diagnostic Radiology)
111 COLCHESTER AVE, PATRICK 109 MCHV
BURLINGTON, VT 05401
Pharmacist
111 COLCHESTER AVE
BURLINGTON, VT 05401
Anesthesiology
111 COLCHESTER AVE
BURLINGTON, VT 05401
Anesthesiology
111 COLCHESTER AVE
BURLINGTON, VT 05401
Physician Assistant
111 COLCHESTER AVE, DERMATOLOGY OUTPATIENT CLINIC, 5TH FLOOR
BURLINGTON, VT 05401
Nurse Anesthetist, Certified Registered
111 COLCHESTER AVE, FAHC ANESTHESIA
BURLINGTON, VT 05401
Psychologist (Clinical)
111 COLCHESTER AVE, FAHC PSYCHOLOGY SERVICES
BURLINGTON, VT 05401
Ophthalmology
111 COLCHESTER AVE, 358WP5 OPHTHALMOLOGY
BURLINGTON, VT 05401

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 Adam Sprouse Blum's NPI number?

The NPI number for Adam Sprouse Blum is 1396090254. It was assigned to this individual provider in the NPPES registry on July 17, 2012.

Where is Adam Sprouse Blum located?

Adam Sprouse Blum practices at 111 Colchester Ave, Burlington, VT 05401. The listed phone number is (802) 847-2788.

What is Adam Sprouse Blum's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Adam Sprouse Blum enrolled in Medicare?

Yes. Adam Sprouse 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 Adam Sprouse Blum accept?

Health plans from Anthem Blue Cross and Blue Shield list Adam Sprouse 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.

Is Adam Sprouse Blum affiliated with any hospitals?

According to CMS data, Adam Sprouse Blum is affiliated with Univ. Of Vermont - Fletcher Allen Health Care.

When was this NPI record last updated?

The NPPES record for Adam Sprouse Blum was last updated on January 31, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.