DR. MARK BLUM (M.D.) – Surgery Physician, NPI 1710202965

DR. MARK BLUM (M.D.) is a healthcare provider. based in Orange park, Florida. specializing in GENERAL SURGERY, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials M.D.. They hold a License No. ME163007 (FL). The NPI Number for DR. MARK BLUM (M.D.) is 1710202965

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK BLUM (M.D.)
NPI
1710202965
Phone
(904) 276-2549
Address
1887 KINGSLEY AVE STE 1900
Enumeration Date
31 March 2010
Last Update Date
25 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9042762549
Graduation Year
2010 (16 years ago)
PAC ID
9436420015
Group Practice PAC ID
3971985938
Professional Enrollment ID
I20231207000707
Address ID
FL320734451OR1887XAVEX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:16State licenses:1Digital endpointsOther names

2,163 GENERAL SURGERY in FL

Provider Addresses for DR. MARK BLUM (M.D.)

  • 1887 KINGSLEY AVE STE 1900

    ORANGE PARK, FL 320734451

    Phone: (904) 276-2549

    Fax: (904) 276-9223

    Type: Mailing

  • West Belvedere Avenue, Levindale, Baltimore, Maryland, 21208:21209, United States

    BALTIMORE, MD 212155224

    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 $73.

Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.

Last reported payment date: 2023-03-15 • Largest payer in this snapshot: KCI USA, Inc. ($73).

Total Amount

$73

General + Research + Ownership

Payments

1

Total payment records

General Amount

$73

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
KCI USA, Inc.$73
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: 2023-12-07

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
I20231207000707IGeneral SurgeryFLTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes17395$0
99291Critical care, first 30-74 minutes7846$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3030$0
99284Emergency department visit with moderate level of medical decision making1313$0
View full utilization report →

Insurance plans in this area (ZIP 32073)

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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: 3971985938View full group profile
NameSpecialtyState
Critical Care (Intensivists), General SurgeryFL
Physician AssistantFL
General SurgeryTX
General SurgeryNY
General SurgeryFL
Physician AssistantOH
Physician AssistantFL
General SurgeryMI
Physician AssistantFL
General SurgeryNY

Reviews

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Frequently asked questions

Does DR. MARK BLUM (M.D.) have a public NPI I can cite?
Public records show DR. MARK BLUM (M.D.) under NPI 1710202965.
Does the public listing show DR. MARK BLUM (M.D.) as active?
DR. MARK BLUM (M.D.)'s NPI record reflects an active status in NPPES.
What does the directory say DR. MARK BLUM (M.D.) does?
Insurance directories may phrase it differently, but here DR. MARK BLUM (M.D.) maps to Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. MARK BLUM (M.D.) tied to Orange Park, Florida?
If you are local to Orange Park, Florida, DR. MARK BLUM (M.D.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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