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JESSICA ELLEN BLUMENTHAL MD
NPI 1689652992
Obstetrics & Gynecology in Salisbury, NC

Active since January 06, 2006PECOS EnrolledAccepts Medicare Assignment
911 WEST HENDERSON STREET, SUITE 300, SALISBURY, NC 28144(704) 636-9270(704) 636-1095 Get Directions Write a Review

NPPES record last updated: October 25, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jessica Ellen Blumenthal Md NPPES

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

JESSICA ELLEN BLUMENTHAL MD (NPI 1689652992) is an individual obstetrics & gynecology provider in Salisbury, North Carolina, licensed in North Carolina (200000362) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Novant Health Rowan Medical Center, and is a graduate of University Of Virginia School Of Medicine (1996).

NPPES Registry Identity

NPI1689652992
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameJESSICA ELLEN BLUMENTHALCredential: MD
Location Address911 WEST HENDERSON STREET, SUITE 300Salisbury, NC 28144-2700
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 636-9270 · Fax (704) 636-1095
Phone(704) 636-9270
Fax(704) 636-1095
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1996
Enumeration DateJanuary 6, 2006
Last NPPES UpdateOctober 25, 2020
NPPES CertifiedSeptember 29, 2020
✔ NPI 1689652992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NC · 200000362
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

911 WEST HENDERSON STREET, Salisbury, NC 28144
Open in Google Maps ↗

Other Identifiers 1

Medicaid89126PYNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Ellen Blumenthal Md 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 ID7012065899
PECOS Enrollment IDI20090505000285
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 6

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
61 services61 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.
57 services41 patients
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.
47 services43 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
28 services28 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Rowan Medical Center

Acute Care Hospitals · Salisbury, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340015
Location612 Mocksville AveSalisbury, NC 28144 · Rowan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28144 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
87%60 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
50%74 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
46%123 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
75%67 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

JOAN P LYNN NMW
Advanced Practice Midwife
911 WEST HENDERSON STREET, SUITE 300
SALISBURY, NC 28144
Rowan County (704) 636-9270

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 Jessica Blumenthal's NPI number?

The NPI number for Jessica Blumenthal is 1689652992. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Where is Jessica Blumenthal located?

Jessica Blumenthal practices at 911 West Henderson Street Suite 300, Salisbury, NC 28144. The listed phone number is (704) 636-9270.

What is Jessica Blumenthal's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jessica Blumenthal enrolled in Medicare?

Yes. Jessica Blumenthal 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.

What insurance does Jessica Blumenthal accept?

Health plans from Blue Cross and Blue Shield of NC list Jessica 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.

Is Jessica Blumenthal affiliated with any hospitals?

According to CMS data, Jessica Blumenthal is affiliated with Novant Health Rowan Medical Center.

When was this NPI record last updated?

The NPPES record for Jessica Blumenthal was last updated on October 25, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.