DR. JEREMY MATTHEW BLUMBERG (M.D.) – Urology Physician, NPI 1982889622
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,307 UROLOGY in CA
Provider Addresses for DR. JEREMY MATTHEW BLUMBERG (M.D.)
200 UCLA MEDICAL PLZ STE 140
LOS ANGELES, CA 900958344
Phone: (310) 794-7152
Fax: (310) 794-1666
Type: Location
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 900455631
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $178.
Total Amount is formed as General ($178) + Research ($0) + Ownership ($0) = $178.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Medtronic, Inc. ($178).
Total Amount
$178
General + Research + Ownership
Payments
1
Total payment records
General Amount
$178
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $178 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-11-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081110000461 | I | Urology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 50547 | Removal of kidney from living donor using an endoscope | 14 | 14 | $0 |
Insurance plans in this area (ZIP 90095)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| U R O L O G Y | CA | |
| U R O L O G Y | CA | |
| U R O L O G Y | CA | |
| U R O L O G Y | CA | |
| U R O L O G Y | CA | |
| U R O L O G Y | CA | |
| U R O L O G Y | CA | |
| U R O L O G Y | CA | |
| U R O L O G Y | CA |
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