JILL I BLUMBERG (M.D.) – Family Medicine Physician, NPI 1811961576

JILL I BLUMBERG (M.D.) is a healthcare provider. based in White river junction, Vermont. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 0420012818 (VT). The NPI Number for JILL I BLUMBERG (M.D.) is 1811961576

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
JILL I BLUMBERG (M.D.)
NPI
1811961576
Phone
(802) 295-6132
Address
331 OLCOTT DR
Enumeration Date
17 February 2006
Last Update Date
29 March 2021

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
8022956132
Graduation Year
1999 (27 years ago)
PAC ID
5890719389
Group Practice PAC ID
3971561358
Professional Enrollment ID
I20140131001277
Address ID
VT050019263WH331XXDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

355 FAMILY PRACTICE in VT

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Provider Addresses for JILL I BLUMBERG (M.D.)

  • White River Family Practice, 331, Olcott Drive, Hartford, Windsor County, Vermont, 05001, United States

    SUITE U3

    WHITE RIVER JUNCTION, VT 050019601

    Phone: (802) 295-6132

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2014-01-31

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
I20140131001277IFamily PracticeVTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes400203$0
36415Insertion of needle into vein for collection of blood sample156117$0
G0442Annual alcohol misuse screening, 5 to 15 minutes133133$0
99213Established patient office or other outpatient visit, 20-29 minutes128108$0
G0444Annual depression screening, 5 to 15 minutes125125$0
View full utilization report →

Insurance plans in this area (ZIP 05001)

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Provider's Procedures

JILL I BLUMBERG (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEVT81002Urinalysis, manual test7664

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: 3971561358View full group profile
NameSpecialtyState
Hospitalist, Obstetrics/GynecologyVT
Nurse PractitionerVT
Nurse PractitionerVT
Nurse PractitionerMA
Family PracticeVT
General PracticeVT
Nurse PractitionerVT
-VT
Family PracticeVT
Family PracticeVT

Reviews

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Frequently asked questions

What NPI should I save for JILL I BLUMBERG (M.D.)?
Save NPI 1811961576 if you need a stable reference for JILL I BLUMBERG (M.D.).
Is JILL I BLUMBERG (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is JILL I BLUMBERG (M.D.)?
The page reflects Family Medicine Physician for JILL I BLUMBERG (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place JILL I BLUMBERG (M.D.)?
The snapshot lists White River Junction, Vermont for JILL I BLUMBERG (M.D.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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