JONATHAN A BLUM (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1407824410

JONATHAN A BLUM (DPM) is a healthcare provider. based in Kissimmee, Florida. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. PO2633 (FL). The NPI Number for JONATHAN A BLUM (DPM) is 1407824410

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN A BLUM (DPM)
NPI
1407824410
Phone
(407) 846-6004
Address
604 OAK COMMONS BLVD
Enumeration Date
8 March 2006
Last Update Date
9 January 2023

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4072002700
Graduation Year
1995 (31 years ago)
PAC ID
8527197656
Group Practice PAC ID
0749186153
Professional Enrollment ID
I20100527000198
Address ID
FL327517102MA2600XLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,444 PODIATRY in FL

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Provider Addresses for JONATHAN A BLUM (DPM)

  • 604, Oak Commons Boulevard, Kissimmee, Osceola County, Florida, 34741, United States

    KISSIMMEE, FL 34741

    Phone: (407) 846-6004

    Fax: (407) 846-1330

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $51,258.

Total Amount is formed as General ($51,258) + Research ($0) + Ownership ($0) = $51,258.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Trilliant Surgical LLC. ($35,273).

Total Amount

$51,258

General + Research + Ownership

Payments

26

Total payment records

General Amount

$51,258

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

2

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-05-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100527000198IPodiatryFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes19998$0
73630X-ray of foot, minimum of 3 views15480$0
J1100Injection, dexamethasone sodium phosphate, 1 mg15328$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg8822$0
99214Established patient office or other outpatient visit, 30-39 minutes8544$0
View full utilization report →

Insurance plans in this area (ZIP 34741)

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Provider's Procedures

JONATHAN A BLUM (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYFL11042Removal of skin and tissue first 20 sq cm or less8323

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749186153View full group profile
NameSpecialtyState
H E M A T O L O G YPA
Nurse PractitionerFL
Physician AssistantPA
Physician AssistantFL
-FL
N E U R O S U R G E R YFL
G A S T R O E N T E R O L O G YFL
-FL
-FL
Cardiovascular Disease (Cardiology)VA

Reviews

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Frequently asked questions

Can I use this page to confirm JONATHAN A BLUM (DPM)'s NPI?
Yes. JONATHAN A BLUM (DPM) is listed with NPI 1407824410 in the public NPI dataset.
Is JONATHAN A BLUM (DPM) listed as active for patients and plans?
The listing shows JONATHAN A BLUM (DPM) as active in the NPI system.
What taxonomy line describes JONATHAN A BLUM (DPM)?
For research purposes, treat JONATHAN A BLUM (DPM) as Foot & Ankle Surgery Podiatrist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect JONATHAN A BLUM (DPM) on a map?
Expect Kissimmee, Florida as a primary anchor for JONATHAN A BLUM (DPM) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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