DAVID E BLUMENTHAL MD
NPI 1639243223
Internal Medicine - Rheumatology in Beachwood, OH

Active since November 17, 2006PECOS Enrolled
79.48/100
CMS Quality Rating
3909 ORANGE PL, BEACHWOOD, OH 44122(216) 844-8500 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 14, 2020, Dec 13, 2020 (2 updates tracked since 2020).

About David E Blumenthal Md NPPES

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

DAVID E BLUMENTHAL MD (NPI 1639243223) is an individual rheumatology provider in Beachwood, Ohio, licensed in Ohio (35073661) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639243223
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDAVID E BLUMENTHALCredential: MD
Location Address3909 ORANGE PLBeachwood, OH 44122-4478
Mailing Address3909 Orange Pl Ste 3200Beachwood, OH 44122-4481 · (216) 844-8500 · Fax (216) 844-2288
Sole ProprietorNo
Enumeration DateNovember 17, 2006
Last NPPES UpdateDecember 14, 20202 updates tracked since enumeration
NPPES CertifiedDecember 14, 2020
NPI 1639243223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in OH · 35073661
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
3909 ORANGE PL, Beachwood, OH 44122

Other Identifiers 1

Medicaid2104636OH

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)

David E Blumenthal Md 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.

Areas of Expertise CMS Part B claims 2

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.
19 services19 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.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44122 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
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

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.

Emergency Medicine
3909 ORANGE PL, STE 2100
BEACHWOOD, OH 44122
Surgery
3909 ORANGE PL, SUITE 4300
BEACHWOOD, OH 44122
Nutritionist
3909 ORANGE PL
ORANGE VILLAGE, OH 44122
Student in an Organized Health Care Education/Training Program
3909 ORANGE PL
WARRENSVILLE HEIGHTS, OH 44122
Obstetrics & Gynecology
3909 ORANGE PL, SUITE 2500
BEACHWOOD, OH 44122
General Practice
3909 ORANGE PL, SUITE 3100
BEACHWOOD, OH 44122
Family Medicine
3909 ORANGE PL, #2100
BEACHWOOD, OH 44122
Emergency Medicine
3909 ORANGE PL
BEACHWOOD, OH 44122

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 David Blumenthal's NPI number?

The NPI number for David Blumenthal is 1639243223. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is David Blumenthal located?

David Blumenthal practices at 3909 Orange Pl, Beachwood, OH 44122. The listed phone number is (216) 844-8500.

What is David Blumenthal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is David Blumenthal enrolled in Medicare?

Yes. David Blumenthal is registered in the Medicare PECOS enrollment system.

What insurance does David Blumenthal accept?

Health plans from CareSource list David Blumenthal 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.

When was this NPI record last updated?

The NPPES record for David Blumenthal was last updated on December 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.