MICHAEL L BLUMENFELD M.D.
NPI 1538108345
Obstetrics & Gynecology in Columbus, OH

Q: What is Michael Blumenfeld's NPI number?

The NPI number for Michael Blumenfeld is 1538108345. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Q: What is Michael Blumenfeld's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment

95.31/100

CMS Quality Rating

1800 ZOLLINGER RD FL 5, COLUMBUS, OH 43221(614) 293-5123(614) 293-4980 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Michael L Blumenfeld M.d. NPPES

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

MICHAEL L BLUMENFELD M.D. (NPI 1538108345) is an individual obstetrics & gynecology provider in Columbus, Ohio, licensed in Ohio (35054618) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Ohio State University College Of Medicine (1985).

NPPES Registry Identity

NPI1538108345

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameMICHAEL L BLUMENFELDCredential: M.D.

Location Address1800 ZOLLINGER RD FL 5Columbus, OH 43221-2800

Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-5123 · Fax (614) 293-4980

Phone(614) 293-5123

Fax(614) 293-4980

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 1985

Enumeration DateJune 6, 2006

Last NPPES UpdateDecember 6, 2024

NPPES CertifiedDecember 6, 2024

✔ NPI 1538108345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in OH · 35054618

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1800 ZOLLINGER RD FL 5, Columbus, OH 43221

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael L Blumenfeld M.d. 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 ID1557269768

PECOS Enrollment IDI20070719000000

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.

Medicare Billing Reassignments

Medicare enrollment records show Michael Blumenfeld reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Osu General Internal Medicine LLC

Same address

Internal Medicine

1800 ZOLLINGER RD
Columbus, OH 43221

Reassigned Medicare billing, Ohio enrollment
303 clinicians in this Medicare group

NPI 1689919599 (614) 293-5123

Osu Gyn & Ob Consultants LLC

2.8 mi

Obstetrics & Gynecology

1581 DODD DR FL 4
Columbus, OH 43210

Reassigned Medicare billing, Ohio enrollment
88 clinicians in this Medicare group

NPI 1073552493 (614) 293-3069

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

35 services30 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.

23 services22 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

18 services18 patients

Hospital Affiliations CMS Care Compare

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number360085

Location410 West 10th AvenueColumbus, OH 43210 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43221 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

95.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

76.58

Promoting Interoperability

100

Improvement Activities

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.

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