DR. STACEY MICHELE BLUME-SOPER DMD
NPI 1558467399
Dentist - General Practice in Cincinnati, OH

Q: What is Stacey Blume-soper's NPI number?

The NPI number for Stacey Blume-soper is 1558467399. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Q: What is Stacey Blume-soper's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since September 16, 2006PECOS Enrolled

4030 SMITH RD, SUITE 225, CINCINNATI, OH 45209(513) 871-8488(513) 871-8490 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Stacey Michele Blume-soper Dmd NPPES

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

DR. STACEY MICHELE BLUME-SOPER DMD (NPI 1558467399) is an individual general practice provider in Cincinnati, Ohio, licensed in Ohio (25387) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558467399

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. STACEY MICHELE BLUME-SOPERCredential: DMD

Location Address4030 SMITH RD, SUITE 225Cincinnati, OH 45209-1957

Mailing Address644 Overton StNewport, KY 41071-2010 · (513) 200-3844 · Fax (513) 871-8490

Phone(513) 871-8488

Fax(513) 871-8490

Sole ProprietorNo

Enumeration DateSeptember 16, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1558467399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in OH · 25387✔ Licensed in KY · 2173

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4030 SMITH RD, Cincinnati, OH 45209

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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. Stacey Michele Blume-soper Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45209 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

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.

Other Providers at the Same Location NPPES 16

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

DR. RICHARD BRUCE FRIES II M.D.

Surgery (Vascular Surgery)

4030 SMITH RD, SUITE 300
CINCINNATI, OH 45209

Hamilton County (513) 421-3494

MERCY HEALTH PHYSICIANS CINCINNATI, LLC

Thoracic Surgery (Cardiothoracic Vascular Surgery)

4030 SMITH RD, SUITE 300
CINCINNATI, OH 45209

Hamilton County (513) 421-3494

DR. MOHI OMER MITIEK MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

4030 SMITH RD, SUITE 300
CINCINNATI, OH 45209

Hamilton County (513) 421-3494

RANJIT RATH M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

4030 SMITH RD, SUITE 300
CINCINNATI, OH 45209

Hamilton County (513) 421-3494

ILMAR EZIS DDS

Dentist (General Practice)

4030 SMITH RD, STE 225
CINCINNATI, OH 45209

Hamilton County (513) 871-8488

DR. TODD M BAYER M.D.

Surgery (Vascular Surgery)

4030 SMITH RD, SUITE 300
CINCINNATI, OH 45209

Hamilton County (513) 421-3494

DONALD CHARLES BUCKLEY M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

4030 SMITH RD, SUITE 300
CINCINNATI, OH 45209

Hamilton County (513) 421-3494

CARDIOVASCULAR & THORACIC SURGEONS, INC.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

4030 SMITH RD, SUITE 300
CINCINNATI, OH 45209

Hamilton County (513) 421-3494

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 Stacey Blume-soper's NPI number?

The NPI number for Stacey Blume-soper is 1558467399. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Stacey Blume-soper located?

Stacey Blume-soper practices at 4030 Smith Rd Suite 225, Cincinnati, OH 45209. The listed phone number is (513) 871-8488.

What is Stacey Blume-soper's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Stacey Blume-soper enrolled in Medicare?

Yes. Stacey Blume-soper is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacey Blume-soper was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.