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

STACY GITTEL BLUM D.O.
NPI 1952757007
Dermatology in Phoenix, AZ

Active since May 08, 2016PECOS EnrolledAccepts Medicare Assignment
10930 N TATUM BLVD STE C101, PHOENIX, AZ 85028(480) 500-8476(480) 500-8476 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 17, 2026, Mar 22, 2023, Mar 6, 2023 and 3 more (6 updates tracked since 2019).

About Stacy Gittel Blum D.o. NPPES

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

STACY GITTEL BLUM D.O. (NPI 1952757007) is an individual dermatology provider in Phoenix, Arizona, licensed in Missouri (2020010791) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1952757007
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameSTACY GITTEL BLUMCredential: D.O.
Location Address10930 N TATUM BLVD STE C101Phoenix, AZ 85028-6069
Mailing Address10930 N Tatum Blvd Ste C101Phoenix, AZ 85028-6069 · (480) 500-8476 · Fax (480) 500-8476
Fax(480) 500-8476
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMay 8, 2016
Last NPPES UpdateAugust 17, 20266 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
✔ NPI 1952757007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MO · 2020010791
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.
10930 N TATUM BLVD STE C101, Phoenix, AZ 85028

Secondary Practice Locations 4

Location 11015 W Adams StBowling Green, MO 63334-1974 · Phone (573) 324-5300 · Fax (573) 324-6059
Location 22325 Dougherty Ferry Rd Ste 207Saint Louis, MO 63122-3356 · Phone (314) 230-1500 · Fax (314) 230-1122
Location 3509 W 18th StHermann, MO 65041-1547 · Phone (573) 486-2191 · Fax (573) 486-3743
Location 41060 Meyer RdWentzville, MO 63385-3800 · Phone (314) 230-1500 · Fax (314) 230-1122

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 and accepts Medicare assignment

Stacy Gittel Blum D.o. 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 ID8325332992
PECOS Enrollment IDI20200713002086
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 18

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.

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.
1,140 services215 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.
490 services390 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.
345 services286 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.
248 services227 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.
196 services196 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
156 services147 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85028 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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 Stacy Blum's NPI number?

The NPI number for Stacy Blum is 1952757007. It was assigned to this individual provider in the NPPES registry on May 8, 2016.

Where is Stacy Blum located?

Stacy Blum practices at 10930 N Tatum Blvd Ste C101, Phoenix, AZ 85028. The listed phone number is (480) 500-8476.

What is Stacy Blum's specialty?

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

Is Stacy Blum enrolled in Medicare?

Yes. Stacy 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.

What insurance does Stacy Blum accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Stacy Blum 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 Stacy Blum was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 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.