MARK A BLUMBERG (M.D.) – Dermatology Physician, NPI 1588662019
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
744 DERMATOLOGY in MA
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Provider Addresses for MARK A BLUMBERG (M.D.)
3451;3455, Main Street, North End, Springfield, Hampden County, Massachusetts, 01107, United States
SUITE 5
SPRINGFIELD, MA 011071147
Phone: (413) 733-9600
Fax: (413) 732-6534
Type: Mailing
200 Silver St Unit 106
Agawam, MA 010013067
Phone: (413) 341-5335
Fax: (413) 341-5335
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 71 Open Payments records for all available years, with a total value of $926.
Total Amount is formed as General ($926) + Research ($0) + Ownership ($0) = $926.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: UCB, Inc. ($325).
Total Amount
$926
General + Research + Ownership
Payments
71
Total payment records
General Amount
$926
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| UCB, Inc. | $325 |
| E.R. Squibb & Sons, L.L.C. | $265 |
| Arcutis Biotherapeutics, Inc. | $150 |
| Janssen Biotech, Inc. | $115 |
| PFIZER INC. | $50 |
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: 2005-08-10
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 |
|---|---|---|---|---|
| I20050810000876 | I | Dermatology | MA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,455 | 1,107 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,232 | 370 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 756 | 473 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 731 | 592 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 385 | 341 | $0 |
Insurance plans in this area (ZIP 01107)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | MA | 11101 | Biopsy of each additional growth of skin and/or tissue | 85 | 61 |
| DERMATOLOGY | MA | 17003 | Destruction of 2-14 skin growths | 928 | 265 |
| DERMATOLOGY | MA | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 152 | 72 |
| DERMATOLOGY | MA | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 140 | 62 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MA | |
| D E R M A T O L O G Y | MA | |
| Nurse Practitioner | MA | |
| Physician Assistant | MA | |
| Physician Assistant | MA |
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