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DR. MITCHELL EDWARD BLUM M.D.
NPI 1770586448
Otolaryngology in Tracy, CA

Active since May 24, 2005PECOS EnrolledAccepts Medicare Assignment
96.5/100
CMS Quality Rating
2160 W. GRANTLINE RD, SUITE 250, TRACY, CA 95377(209) 834-0626(209) 834-1814 Get Directions Write a Review

NPPES record last updated: April 30, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mitchell Edward Blum M.d. NPPES

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

DR. MITCHELL EDWARD BLUM M.D. (NPI 1770586448) is an individual otolaryngology provider in Tracy, California, licensed in California (G25010) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of Hahnemann University College Of Medicine (1968).

NPPES Registry Identity

NPI1770586448
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. MITCHELL EDWARD BLUMCredential: M.D.
Location Address2160 W. GRANTLINE RD, SUITE 250Tracy, CA 95377
Mailing Address15 Oval RdOakland, CA 94611 · (209) 834-0626 · Fax (510) 817-4235
Phone(209) 834-0626
Fax(209) 834-1814
Sole ProprietorYes
Medical School CMSHahnemann University College Of MedicineGraduated 1968
Enumeration DateMay 24, 2005
Last NPPES UpdateApril 30, 2015
✔ NPI 1770586448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in CA · G25010
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X · License G25010 (CA)
2160 W. GRANTLINE RD, Tracy, CA 95377
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Other Identifiers 2

Medicare UPINA42480
Medicaid00G250100CA

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

Dr. Mitchell Edward Blum M.d. 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 ID8527064229
PECOS Enrollment IDI20061019000234
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 Reassignment

Medicare enrollment records show Mitchell Blum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dignity Health Medical Foundation
17 mi
Multi-Specialty
3132 W MARCH LN, SUITE 5
Stockton, CA 95219
  • Reassigned Medicare billing, California enrollment
  • 1,191 clinicians in this Medicare group
NPI 1861410581 (209) 475-5500

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 9

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.

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.
129 services129 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.
79 services66 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
74 services64 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.
48 services41 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
43 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95377 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

96.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.34
Promoting Interoperability100
Improvement Activities40

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 Mitchell Blum's NPI number?

The NPI number for Mitchell Blum is 1770586448. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Mitchell Blum located?

Mitchell Blum practices at 2160 W. Grantline Rd Suite 250, Tracy, CA 95377. The listed phone number is (209) 834-0626.

What is Mitchell Blum's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Mitchell Blum enrolled in Medicare?

Yes. Mitchell Blum 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 organization bills Medicare for Mitchell Blum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mitchell Blum reassigns Medicare benefits to Dignity Health Medical Foundation (Stockton, CA). The 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 Mitchell Blum'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 Mitchell Blum was last updated on April 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.