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ROGER SCOTT BLUMENTHAL M.D.
NPI 1396701074
Internal Medicine - Cardiovascular Disease in Baltimore, MD

Active since April 22, 2006PECOS Enrolled
74.39/100
CMS Quality Rating
600 N WOLFE ST, BALTIMORE, MD 21287(410) 955-3116 Get Directions Write a Review

NPPES record last updated: February 4, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Roger Scott Blumenthal M.d. NPPES

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

ROGER SCOTT BLUMENTHAL M.D. (NPI 1396701074) is an individual cardiovascular disease provider in Baltimore, Maryland, licensed in Maryland (D34516) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of Js Weill Medical College, Cornell University (1985).

NPPES Registry Identity

NPI1396701074
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameROGER SCOTT BLUMENTHALCredential: M.D.
Location Address600 N WOLFE STBaltimore, MD 21287-0005
Mailing AddressPo Box 64250Baltimore, MD 21264-4250 · (410) 955-3116
Phone(410) 955-3116
Sole ProprietorNo
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 1985
Enumeration DateApril 22, 2006
Last NPPES UpdateFebruary 4, 2013
✔ NPI 1396701074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MD · D34516
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
600 N WOLFE ST, Baltimore, MD 21287
Open in Google Maps ↗

Other Identifiers 3

Medicare PINKR34JHMN70MD
Medicaid068521600MD
Medicare UPINE66234MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roger Scott Blumenthal M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890827463
PECOS Enrollment IDI20100716000491
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 8

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
264 services203 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.
258 services232 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.
207 services194 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.
50 services43 patients
Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244
A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.
18 services18 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.
17 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

University Of MD St Joseph Medical Center

Acute Care Hospitals · Towson, MD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210063
Location7601 Osler DriveTowson, MD 21204 · Baltimore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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.

PAMELA KIMZEY DONOHUE SCD, PA-C
Physician Assistant (Medical)
600 N WOLFE ST, NELSON 2-133
BALTIMORE, MD 21287
Baltimore City (410) 955-5232
MR. CHRISTOPHER DAVID SCHRIEBER M.S., PA-C
Physician Assistant
600 N WOLFE ST, MARBURG B-186
BALTIMORE, MD 21287
Baltimore City (410) 955-8708
DR. SABRINA CHRISTINE SOPHA M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-3580
SANDRA KING D.H.
Dental Hygienist
600 N WOLFE ST, BLALOCK 266
BALTIMORE, MD 21287
Baltimore City (410) 955-6662
THERESA J RUDDY C.P.N.P., CRNP
Nurse Practitioner (Acute Care)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5260
DR. SUMAN PAUL M.B.B.S, PHD
Internal Medicine (Medical Oncology)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
MS. SARAH CATHERINE COLLICA
Psychiatry & Neurology (Psychiatry)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (443) 287-4701
JEFF S EHRESMAN
Student in an Organized Health Care Education/Training Program
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000

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 Roger Blumenthal's NPI number?

The NPI number for Roger Blumenthal is 1396701074. It was assigned to this individual provider in the NPPES registry on April 22, 2006.

Where is Roger Blumenthal located?

Roger Blumenthal practices at 600 N Wolfe St, Baltimore, MD 21287. The listed phone number is (410) 955-3116.

What is Roger Blumenthal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Roger Blumenthal enrolled in Medicare?

Yes. Roger Blumenthal is registered in the Medicare PECOS enrollment system.

Is Roger Blumenthal affiliated with any hospitals?

According to CMS data, Roger Blumenthal is affiliated with Johns Hopkins Hospital, The and University Of MD St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Roger Blumenthal was last updated on February 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.