Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARK A BLUMBERG M.D.
NPI 1588662019
Dermatology in Springfield, MA

Active since July 08, 2005PECOS Enrolled
504 COTTAGE ST, SPRINGFIELD, MA 01104(413) 750-9044(413) 301-6677 Get Directions Write a Review

NPPES record last updated: November 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 2, 2026, Dec 18, 2025 (2 updates tracked since 2025).

About Mark A Blumberg M.d. NPPES

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

MARK A BLUMBERG M.D. (NPI 1588662019) is an individual dermatology provider in Springfield, Massachusetts, licensed in Massachusetts (223863) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (2000).

NPPES Registry Identity

NPI1588662019
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameMARK A BLUMBERGCredential: M.D.
Location Address504 COTTAGE STSpringfield, MA 01104-3219
Mailing Address504 Cottage StSpringfield, MA 01104-3219 · (413) 750-9044 · Fax (413) 301-6677
Fax(413) 301-6677
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2000
Enumeration DateJuly 8, 2005
Last NPPES UpdateNovember 2, 20262 updates tracked since enumeration
NPPES CertifiedNovember 2, 2026
✔ NPI 1588662019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MA · 223863
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 223863 (MA)
504 COTTAGE ST, Springfield, MA 01104

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark A Blumberg M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193709863
PECOS Enrollment IDI20050810000876
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

2

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

Dermatology
504 COTTAGE ST
Springfield, MA 01104
  • Reassigned Medicare billing, Massachusetts enrollment
  • 3 clinicians in this Medicare group
Dermatology
504 COTTAGE ST
Springfield, MA 01104
  • Reassigned Medicare billing, Massachusetts enrollment

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 28

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,430 services1,029 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,082 services321 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
758 services432 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
685 services526 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.
391 services301 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
386 services336 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01104 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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 3

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

Physician Assistant (Medical)
504 COTTAGE ST
SPRINGFIELD, MA 01104
Dermatology
504 COTTAGE ST
SPRINGFIELD, MA 01104
Dermatology
504 COTTAGE ST
SPRINGFIELD, MA 01104

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 Mark Blumberg's NPI number?

The NPI number for Mark Blumberg is 1588662019. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is Mark Blumberg located?

Mark Blumberg practices at 504 Cottage St, Springfield, MA 01104. The listed phone number is (413) 750-9044.

What is Mark Blumberg's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Mark Blumberg enrolled in Medicare?

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

Which organizations bill Medicare for Mark Blumberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Blumberg reassigns Medicare benefits to 2 organizations: Stratum Dermatology, PLLC (Springfield, MA) and Stratum Radiation, PLLC (Springfield, MA). 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 Mark Blumberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Blumberg was last updated on November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.