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DR. SPENCER LOUIS BLUMBERG D.M.D., M.D.
NPI 1508358631
Dentist - Oral and Maxillofacial Surgery in Gainesville, FL

Active since June 04, 2018PECOS Enrolled
2121 NW 40TH TER STE C, GAINESVILLE, FL 32605(352) 378-2525(352) 392-7609 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Dr. Spencer Louis Blumberg D.m.d., M.d. NPPES

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

DR. SPENCER LOUIS BLUMBERG D.M.D., M.D. (NPI 1508358631) is an individual oral and maxillofacial surgery provider in Gainesville, Florida, licensed in Florida (DN23373) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508358631
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. SPENCER LOUIS BLUMBERGCredential: D.M.D., M.D.
Location Address2121 NW 40TH TER STE CGainesville, FL 32605-5814
Mailing Address2121 Nw 40th Ter Ste CGainesville, FL 32605-5814 · (352) 378-2525 · Fax (352) 392-7609
Phone(352) 378-2525
Fax(352) 392-7609
Sole ProprietorNo
Enumeration DateJune 4, 2018
Last NPPES UpdateJanuary 20, 2025
NPPES CertifiedJanuary 20, 2025
✔ NPI 1508358631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in FL · DN23373
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2121 NW 40TH TER STE C, Gainesville, FL 32605
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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. Spencer Louis Blumberg D.m.d., M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32605 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES

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

WILLIAMSON T. RATLIFF DMD, MD
Dentist (Oral and Maxillofacial Surgery)
2121 NW 40TH TER STE C
GAINESVILLE, FL 32605
Alachua County (352) 378-2525

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 Spencer Blumberg's NPI number?

The NPI number for Spencer Blumberg is 1508358631. It was assigned to this individual provider in the NPPES registry on June 4, 2018.

Where is Spencer Blumberg located?

Spencer Blumberg practices at 2121 NW 40th Ter Ste C, Gainesville, FL 32605. The listed phone number is (352) 378-2525.

What is Spencer Blumberg's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Spencer Blumberg enrolled in Medicare?

Yes. Spencer Blumberg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Spencer Blumberg was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.