SCOTT FREDERICK MICHAEL BLUMHOF D.O.
NPI 1568724946
Internal Medicine - Pulmonary Disease in Allentown, PA

Active since June 12, 2012PECOS EnrolledAccepts Medicare Assignment
1250 S CEDAR CREST BLVD STE 205, ALLENTOWN, PA 18103(610) 402-9116(610) 402-9610 Get Directions Write a Review

NPPES record last updated: August 19, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Scott Frederick Michael Blumhof D.o. NPPES

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

SCOTT FREDERICK MICHAEL BLUMHOF D.O. (NPI 1568724946) is an individual pulmonary disease provider in Allentown, Pennsylvania, licensed in Pennsylvania (OS017456) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Schuylkill Medical Center - South Jackson Street, and maintains a secondary practice location in Birmingham.

NPPES Registry Identity

NPI1568724946
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameSCOTT FREDERICK MICHAEL BLUMHOFCredential: D.O.
Location Address1250 S CEDAR CREST BLVD STE 205Allentown, PA 18103
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311 · (484) 884-4500 · Fax (484) 884-0699
Fax(610) 402-9610
Sole ProprietorNo
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2012
Enumeration DateJune 12, 2012
Last NPPES UpdateAugust 19, 2019
✔ NPI 1568724946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in PA · OS017456
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1250 S CEDAR CREST BLVD STE 205, Allentown, PA 18103

Secondary Practice Location 1

Location 1625 19th St SBirmingham, AL 35249-1849 · Phone (205) 934-4328

Accepted 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

Scott Frederick Michael Blumhof D.o. 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 ID749596385
PECOS Enrollment IDI20150827002571
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

3

Medicare enrollment records show Scott Blumhof reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
1250 S CEDAR CREST BLVD, SUITE 410
Allentown, PA 18103
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 clinicians in this Medicare group
Family Medicine
200 E BROWN ST
East Stroudsburg, PA 18301
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 500 clinicians in this Medicare group
Internal Medicine
700 EAST BROAD STREET
Hazleton, PA 18201
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 305 clinicians in this Medicare group

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 10

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.

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.
173 services106 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
136 services101 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
90 services79 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
34 services34 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.
33 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
29 services27 patients

Hospital Affiliations CMS Care Compare 4

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

Schuylkill Medical Center - South Jackson Street

Acute Care Hospitals · Pottsville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390030
Location420 South Jackson StreetPottsville, PA 17901 · Schuylkill County
Emergency services Birthing friendly

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Lehigh Valley Hospital - Hazleton

Acute Care Hospitals · Hazleton, PA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number390185
Location700 East Broad StreetHazleton, PA 18201 · Luzerne County
Emergency services Birthing friendly

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18103 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers11 claims11 services$31.28 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
7 suppliers21 claims126 services$1.70 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
8 suppliers112 claims112 services$13.87 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
9 suppliers48 claims48 services$4.68 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers23 claims23 services$23.47 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
12 suppliers211 claims220 services$66.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Acute Care)
1250 S CEDAR CREST BLVD STE 205
ALLENTOWN, PA 18103
Physician Assistant (Medical)
1250 S CEDAR CREST BLVD STE 205
ALLENTOWN, PA 18103
Internal Medicine (Pulmonary Disease)
1250 S CEDAR CREST BLVD STE 205
ALLENTOWN, PA 18103
Internal Medicine (Hematology & Oncology)
1250 S CEDAR CREST BLVD STE 205
ALLENTOWN, PA 18103
Internal Medicine (Hospice and Palliative Medicine)
1250 S CEDAR CREST BLVD STE 205
ALLENTOWN, PA 18103
Internal Medicine (Pulmonary Disease)
1250 S CEDAR CREST BLVD STE 205
ALLENTOWN, PA 18103
Internal Medicine (Pulmonary Disease)
1250 S CEDAR CREST BLVD STE 205
ALLENTOWN, PA 18103
Internal Medicine (Pulmonary Disease)
1250 S CEDAR CREST BLVD STE 205
ALLENTOWN, PA 18103

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 Scott Blumhof's NPI number?

The NPI number for Scott Blumhof is 1568724946. It was assigned to this individual provider in the NPPES registry on June 12, 2012.

Where is Scott Blumhof located?

Scott Blumhof practices at 1250 S Cedar Crest Blvd Ste 205, Allentown, PA 18103. The listed phone number is (610) 402-9116.

What is Scott Blumhof's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Scott Blumhof enrolled in Medicare?

Yes. Scott Blumhof is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Scott Blumhof's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Blumhof reassigns Medicare benefits to 3 organizations: Lehigh Valley Physician Group (Allentown, PA), Family Care Centers Inc (East Stroudsburg, PA) and Hazleton Professional Services (Hazleton, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Scott Blumhof's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Blumhof accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Scott Blumhof 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.

Is Scott Blumhof affiliated with any hospitals?

According to CMS data, Scott Blumhof is affiliated with Schuylkill Medical Center - South Jackson Street, Lehigh Valley Hospital, Lehigh Valley Hospital - Hazleton and Lehigh Valley Hospital - Pocono.

When was this NPI record last updated?

The NPPES record for Scott Blumhof was last updated on August 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.