Active NPI 1386646016 Individual Practitioner Male Practitioner

Dr. Paul Blum , MD

Internal Medicine • Edison, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Paul Blum, MD is a certified Internal Medicine practicing in Edison, NJ. With approximately 51 years of clinical experience since graduating from State University Of New York Downstate Medical Center in 1975, Dr. Blum delivers high-quality medical care to the local community at 69 ROUTE 27.

Dr. Blum is affiliated with Hackensack Meridian Health Medical Group - Primary Care Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, urinalysis, manual test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

69 Route 27

Edison, NJ 088203953

Telephone 7324943220

Fax 7324945057

Associated Practice Facility / Clinic

🏢 Primecare Medical Group Pa Facility NPI 1669474326

Medicare Profile & Education

Medical School

State University Of New York Downstate Medical Center

Graduation Year

1975

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Edison, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

51 Yrs +20.7 yrs vs City Avg

City Avg: 30.3 Yrs

State Avg: 30.1 Yrs

Regional Practice Density

80 Specialists

Practicing in Edison, NJ (4957 Statewide)

Telehealth Adoption Rate

27.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blum (51 Years) 51 Yrs

Edison Specialty Average (30.3 Years) 30.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	241	95	$300.68	$99.66
36415 Insertion of needle into vein for collection of blood sample	229	101	$29.32	$8.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	220	102	$425.43	$140.25
81002 Urinalysis, manual test	52	50	$15.00	$3.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	47	47	$430.64	$141.93
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	41	41	$30.00	$8.59
82270 Stool analysis for blood to screen for colon tumors	39	39	$15.00	$4.29
90662 Influenza vaccine split virus, preservative free	16	16	$150.00	$81.82
G0008 Administration of influenza virus vaccine	16	16	$105.00	$35.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	308	112	$13.41	$8.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	255	118	$433.92	$139.02
99213 Established patient office or other outpatient visit, typically 15 minutes	239	102	$308.74	$98.39
81002 Urinalysis, manual test	58	54	$30.52	$3.41
93000 Routine ekg using at least 12 leads including interpretation and report	49	47	$50.00	$15.86
82270 Stool analysis for blood to screen for colon tumors	43	43	$18.72	$4.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	22	22	$442.50	$142.20
90662 Influenza vaccine split virus, preservative free	21	20	$110.00	$71.93
G0008 Administration of influenza virus vaccine	21	20	$104.29	$33.97
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$570.00	$181.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	339	116	$10.00	$2.96
99213 Established patient office or other outpatient visit, typically 15 minutes	276	103	$308.95	$101.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	223	102	$434.24	$142.64
81002 Urinalysis, manual test	63	60	$33.10	$3.44
93000 Routine ekg using at least 12 leads including interpretation and report	41	41	$50.00	$15.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	33	33	$442.27	$147.11
82270 Stool analysis for blood to screen for colon tumors	29	29	$20.00	$4.30
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	27	27	$30.00	$8.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	15	$610.00	$201.23
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$568.33	$186.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	348	122	$15.00	$2.98
99213 Established patient office or other outpatient visit, typically 15 minutes	285	113	$255.00	$104.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	248	109	$370.00	$147.10
93000 Routine ekg using at least 12 leads including interpretation and report	67	62	$60.00	$17.08
81002 Urinalysis, manual test	57	56	$10.00	$3.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	42	42	$395.00	$151.38
G0008 Administration of influenza virus vaccine	20	20	$40.00	$19.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$490.00	$205.72
90662 Influenza vaccine split virus, preservative free	11	11	$110.00	$65.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	320	129	$255.00	$85.07
36415 Insertion of needle into vein for collection of blood sample	248	123	$15.00	$2.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	180	101	$370.00	$123.42
93000 Routine ekg using at least 12 leads including interpretation and report	57	55	$60.00	$19.71
81002 Urinalysis, manual test	42	42	$20.00	$3.45
G0008 Administration of influenza virus vaccine	36	36	$75.00	$19.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	32	$490.00	$165.86
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	35	35	$40.00	$19.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	34	34	$395.00	$132.28
82270 Stool analysis for blood to screen for colon tumors	27	27	$25.00	$4.33
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	23	21	$50.00	$14.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	327	133	$212.46	$82.53
36415 Insertion of needle into vein for collection of blood sample	283	125	$15.00	$2.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	283	123	$321.75	$119.09
93000 Routine ekg using at least 12 leads including interpretation and report	68	64	$51.82	$19.26
81002 Urinalysis, manual test	55	46	$10.55	$3.16
82270 Stool analysis for blood to screen for colon tumors	51	51	$19.35	$4.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	47	47	$355.09	$127.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	29	$400.47	$157.07
81003 Automated urinalysis test	25	25	$10.00	$2.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	393	145	$163.00	$78.39
36415 Insertion of needle into vein for collection of blood sample	386	136	$15.00	$2.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	233	117	$239.00	$114.67
93000 Routine ekg using at least 12 leads including interpretation and report	105	95	$38.00	$18.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	100	89	$319.00	$155.29
81002 Urinalysis, manual test	100	84	$7.00	$3.41
82270 Stool analysis for blood to screen for colon tumors	64	64	$9.00	$4.29
G0008 Administration of influenza virus vaccine	31	31	$61.00	$23.23
90662 Influenza vaccine split virus, preservative free	31	31	$86.00	$52.16
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	26	26	$261.00	$125.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	457	153	$163.00	$77.72
36415 Insertion of needle into vein for collection of blood sample	415	140	$15.00	$2.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	273	123	$239.00	$113.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	93	85	$319.00	$153.04
81002 Urinalysis, manual test	86	76	$7.00	$3.43
93000 Routine ekg using at least 12 leads including interpretation and report	76	74	$38.00	$18.53
82270 Stool analysis for blood to screen for colon tumors	61	61	$9.00	$4.37
90662 Influenza vaccine split virus, preservative free	30	30	$77.20	$48.05
G0008 Administration of influenza virus vaccine	30	30	$61.00	$29.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$261.00	$124.42

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NJ MA34875

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0421405 (NJ)

Hospital & Practice Group Affiliations

Hackensack Meridian Health Medical Group - Primary Care Pc

69 Route 27, Edison, NJ 088203983

Phone: 7324943220

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 14, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location January 14, 2010

Registered at 69 ROUTE 27, EDISON, NJ 088203953 (Tel: 7324943220)

📍

Updated Business Mailing Address January 14, 2010

Registered at 622 GEORGES RD, SUITE 303, NORTH BRUNSWICK, NJ 089023377 (Tel: 7327454994)

👤

Provider Name / Credentials Updated January 14, 2010

Recorded as PAUL BLUM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2010

Internal Medicine (License #MA34875 in NJ)

🟢

Initial NPI Registration & Enumeration August 12, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1386646016

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 12, 2005

Last Update: January 14, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

622 Georges Rd, Suite 303

North Brunswick, NJ 089023377

Phone: 7327454994

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.