Donald Alan Blum, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A71922 Issued in WV

Practice address

3 E Benjamin Dr Ste B
New Martinsville, WV 26155-2705

Phone

(304) 455-8082

NPI assigned

Nov 30, 2006

Last updated

Apr 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 14

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in WV, OH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

West Virginia University School of Medicine, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wetzel County Hospital IncGroup PAC ID 4284065400, 49 clinicians

Wetzel County Hospital AssociationGroup PAC ID 4688575319, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Care Partners Home Health Home health agency, Westover, WV, CCN 517100
• Wvuhs Home Care Home health agency, Clarksburg, WV, CCN 517053
• Wetzel County Hospital Hospital, New Martinsville, WV, CCN 510072
• Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050

Merit-based Incentive Payment System (MIPS)

Final score

95.34 of 100Reported as apm

Quality

79.86

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Wetzel County Hospital, Inc.

  dba Wetzel Primary Care

  • Rural Health Clinic/Center
  • New Martinsville, WV
  • NPI 1255963120

  Corporate Director

  CMS ownership
• Wetzel County Hospital, Inc.

  dba Wetzel County Hospital

  • Rural Acute Care Hospital
  • New Martinsville, WV
  • NPI 1376175240

  Corporate Director

  CMS ownership
• Wetzel County Hospital, Inc.

  dba Wetzel Internal Medicine

  • Rural Health Clinic/Center
  • New Martinsville, WV
  • NPI 1548893068

  Corporate Director

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wetzel County Hospital, Inc.

  dba Wetzel County Hospital Physicians

  • Family Medicine Physician
  • New Martinsville, WV
  • NPI 1518590033

  OH

  Medicare reassignment Care Compare group
• Wetzel County Hospital Association

  • Emergency Medicine Physician
  • New Martinsville, WV
  • NPI 1194753145

  Family Medicine

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• West Virginia Homecare, LLC

  dba Care Partners Home Health

  • Home Health Agency
  • Westover, WV
  • NPI 1497907281
  Care Compare affiliation Name & address match
• Wetzel County Hospital, Inc.

  dba Wetzel County Hospital

  • Rural Acute Care Hospital
  • New Martinsville, WV
  • NPI 1376175240
  Care Compare affiliation
• Wheeling Hospital Inc

  • General Acute Care Hospital
  • Wheeling, WV
  • NPI 1104821305
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1598833436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 E BENJAMIN DR",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261552705",
            "telephone_number": "304-455-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 E BENJAMIN DR STE B",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261552705",
            "telephone_number": "304-455-8082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37984 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Woodsfield",
            "state": "OH",
            "postal_code": "437939247",
            "country_code": "US",
            "telephone_number": "740-472-1879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45325 State Route 78",
            "address_purpose": "LOCATION",
            "city": "Woodsfield",
            "state": "OH",
            "postal_code": "437939440",
            "country_code": "US",
            "telephone_number": "740-472-1879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUM",
        "first_name": "DONALD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "A71922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "550573806",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BCBS",
            "identifier": "001719623",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRONWORKERS LOCAL 549 & 5",
            "identifier": "55057380600",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "550573806A01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BANKERS LIFE & CASUALTY C",
            "identifier": "550573806",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN",
            "identifier": "I010140",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH & LIFE IN",
            "identifier": "205249",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0052921000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYEE BENEFIT SERVICES",
            "identifier": "550573806",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "550573806",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACORDIA",
            "identifier": "550573806",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA GOLD",
            "identifier": "550573806",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "550573806",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5505738060002",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dblum216425@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3 Ada Dr",
            "city": "New Martinsville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261552800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dblum216425@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3 Ada Dr",
            "city": "New Martinsville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261552800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eric Eugene Bennett
• Hannah Benson
• Linda Berisford, FNP-BC
• Andrea Marie Blair, LPN
• Katherine Elaine Blankenship
• Jonathan C. Blum, MD
• Stacey Marcella Boice
• Dimarcus Santori Boswell Jr.
• Patricia Louise Bowman, CFNP
• David F. Bridgeman, DDS

• Family Medicine Physician in New Martinsville, WV
• Providers in New Martinsville, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.