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MATTHEW RAYMOND BLUMER CNP
NPI 1487014841
Nurse Practitioner - Family in Butler, PA

Active since February 29, 2016PECOS Enrolled
76.26/100
CMS Quality Rating
220 S MAIN ST STE A, BUTLER, PA 16001(877) 848-9810 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 7, 2025, Oct 30, 2020, Aug 17, 2020 and 1 more (4 updates tracked since 2016).

About Matthew Raymond Blumer Cnp NPPES

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

MATTHEW RAYMOND BLUMER CNP (NPI 1487014841) is an individual family provider in Butler, Pennsylvania, licensed in Pennsylvania (SP025368) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1487014841
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMATTHEW RAYMOND BLUMERCredential: CNP
Location Address220 S MAIN ST STE AButler, PA 16001-0806
Mailing Address400 Lindscot LnWexford, PA 15090-9438
Phone(877) 848-9810
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 29, 2016
Last NPPES UpdateJuly 7, 20254 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1487014841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP025368
Also ListedNurse PractitionerTaxonomy 363L00000X · License CP001829 (SD)
220 S MAIN ST STE A, Butler, PA 16001
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1Crossroads Treatment Center of Farrell, 207 M.L.K. Jr. BlvdFarrell, PA 16121 · Phone (877) 848-9810
Location 2Crossroads Treatment Center of Greenville, 17 6th AveGreenville, PA 16125 · Phone (877) 848-9810

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Raymond Blumer Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163833229
PECOS Enrollment IDI20230220002713
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.

Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
32 services30 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
29 services14 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.
27 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16001 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

76.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.91
Promoting Interoperability100
Improvement Activities40
Cost48.97

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 Matthew Blumer's NPI number?

The NPI number for Matthew Blumer is 1487014841. It was assigned to this individual provider in the NPPES registry on February 29, 2016.

Where is Matthew Blumer located?

Matthew Blumer practices at 220 S Main St Ste A, Butler, PA 16001. The listed phone number is (877) 848-9810.

What is Matthew Blumer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Matthew Blumer enrolled in Medicare?

Yes. Matthew Blumer is registered in the Medicare PECOS enrollment system.

What insurance does Matthew Blumer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Matthew Blumer 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 Matthew Blumer was last updated on July 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.