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

Active since July 08, 2005PECOS Enrolled
3455 MAIN ST, SUITE 5, SPRINGFIELD, MA 01107(413) 733-9600(413) 732-6534 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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, is affiliated with Baystate Medical Center, and maintains a secondary practice location in Agawam.

NPPES Registry Identity

NPI1588662019
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameMARK A BLUMBERGCredential: M.D.
Location Address3455 MAIN ST, SUITE 5Springfield, MA 01107-1147
Mailing Address3455 Main St, Suite 5Springfield, MA 01107-1147 · (413) 733-9600 · Fax (413) 732-6534
Fax(413) 732-6534
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2000
Enumeration DateJuly 8, 2005
Last NPPES UpdateDecember 18, 2025
NPPES CertifiedDecember 18, 2025
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)
3455 MAIN ST, Springfield, MA 01107

Secondary Practice Location 1

Location 1200 Silver St Unit 106Agawam, MA 01001-3067 · Phone (413) 341-5335 · Fax (413) 341-5335

Other Identifiers 5

Other223863Connecticare
OtherJ28609MA · Blue Cross Blue Shield
Other36373Health New England
Other470305Tufts Health Plans
OtherP00231584Railroad Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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

Hospital Affiliations CMS Care Compare

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

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01107 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 18

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

Dentist (General Practice)
3455 MAIN ST
SPRINGFIELD, MA 01107
Obstetrics & Gynecology
3455 MAIN ST
SPRINGFIELD, MA 01107
Dermatology
3455 MAIN ST, SUITE 5
SPRINGFIELD, MA 01107
Registered Nurse
3455 MAIN ST
SPRINGFIELD, MA 01107
Prosthetic/Orthotic Supplier
3455 MAIN ST
SPRINGFIELD, MA 01107
Dermatology
3455 MAIN ST, STE. # 5
SPRINGFIELD, MA 01107
Dermatology
3455 MAIN ST, STE 5
SPRINGFIELD, MA 01107
Dermatology
3455 MAIN ST, SUITE 5
SPRINGFIELD, MA 01107

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 3455 Main St Suite 5, Springfield, MA 01107. The listed phone number is (413) 733-9600.

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.

What insurance does Mark Blumberg accept?

Health plans from Anthem Blue Cross and Blue Shield list Mark Blumberg 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 Mark Blumberg affiliated with any hospitals?

According to CMS data, Mark Blumberg is affiliated with Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Blumberg was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.