STACY GITTEL BLUM (D.O.) – Dermatology Physician, NPI 1952757007
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
337 DERMATOLOGY in MO
Provider Addresses for STACY GITTEL BLUM (D.O.)
509 W 18th St
Hermann, MO 650411547
Phone: (573) 486-2191
Fax: (573) 486-3743
Type: Location
1015 W Adams St
Bowling Green, MO 633341974
Phone: (573) 324-5300
Fax: (573) 324-6059
Type: Location
2325 Dougherty Ferry Rd Ste 207
Saint Louis, MO 631223356
Phone: (314) 230-1500
Fax: (314) 230-1122
Type: Location
480, South Woods Mill Road, Chesterfield, Saint Louis County, Missouri, 63017, United States
CHESTERFIELD, MO 630173625
Phone: (314) 576-7343
Type: Mailing
1060 MEYER RD
WENTZVILLE, MO 633853800
Phone: (314) 230-1500
Fax: (314) 230-1122
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 381 Open Payments records for all available years, with a total value of $6,976.
Total Amount is formed as General ($6,976) + Research ($0) + Ownership ($0) = $6,976.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($1,549).
Total Amount
$6,976
General + Research + Ownership
Payments
381
Total payment records
General Amount
$6,976
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,549 |
| Arcutis Biotherapeutics, Inc. | $535 |
| LEO Pharma Inc. | $498 |
| Dermavant Sciences, Inc. | $459 |
| E.R. Squibb & Sons, L.L.C. | $321 |
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: 2020-07-13
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 |
|---|---|---|---|---|
| I20200713002086 | I | Dermatology | MO | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 760 | 144 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 300 | 231 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 237 | 189 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 187 | 187 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 170 | 163 | $0 |
Insurance plans in this area (ZIP 65041)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MO | |
| Physician Assistant | MO | |
| D E R M A T O L O G Y | MO | |
| D E R M A T O L O G Y | MO | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | MO | |
| Nurse Practitioner | MO |
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