Dr Karl R Blum, MD - Medicare Orthopedic Surgery in Toms River, NJ

Dr Karl R Blum, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Toms River, New Jersey. He went to Rutgers New Jersey Medical School and graduated in 1990 and has 34 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Ocean Orthopedic Associates, P.a. and his current practice location is 530 Lakehurst Rd, Suite 101, Toms River, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 349-8454.

Dr Karl R Blum is licensed to practice in New Jersey (license number 25MA06431000) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154361285.

Contact Information

Dr Karl R Blum, MD
530 Lakehurst Rd, Suite 101,
Toms River, NJ 08755-8063
(732) 349-8454
(732) 341-0259

Map and Direction




Physician's Profile

Full NameDr Karl R Blum
GenderMale
SpecialityOrthopedic Surgery
Experience34 Years
Location530 Lakehurst Rd, Toms River, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Karl R Blum attended and graduated from Rutgers New Jersey Medical School in 1990
  NPI Data:
  • NPI Number: 1154361285
  • Provider Enumeration Date: 06/07/2006
  • Last Update Date: 07/24/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 8729188875
  • Enrollment ID: I20101117000519

Medical Identifiers

Medical identifiers for Dr Karl R Blum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154361285NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XX0005XOrthopaedic Surgery - Sports Medicine 25MA06431000 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Vna Of Central Jersey Home Care & HospiceToms river, NJHome health agency
Community Medical CenterToms river, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ocean Orthopedic Associates, P.a.933516804612

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Karl R Blum allows following entities to bill medicare on his behalf.
Entity NameOcean Orthopedic Associates, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073640454
PECOS PAC ID: 9335168046
Enrollment ID: O20051111000041

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Karl R Blum is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Karl R Blum, MD
530 Lakehurst Rd, Suite 101,
Toms River, NJ 08755-8063

Ph: (732) 349-8454
Dr Karl R Blum, MD
530 Lakehurst Rd, Suite 101,
Toms River, NJ 08755-8063

Ph: (732) 349-8454

Reviews and Comments


Orthopaedic Surgery Doctors in Toms River, NJ

Dr. David Dickerson, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 780 Route 37 W, Suite 330, Toms River, NJ 08755
Phone: 732-691-4898    Fax: 732-608-8950
Dr. Justin Paul Kubeck, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 530 Lakehurst Rd, Toms River, NJ 08755
Phone: 732-349-8454    Fax: 732-341-0259
Dr. Aldo Iulo, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 886 Commons Way, Bldg H, Toms River, NJ 08755
Phone: 732-914-8989    Fax: 732-914-0262
Dr. John A Petrillo, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 530 Lakehurst Rd, Suite 101, Toms River, NJ 08755
Phone: 732-349-8454    Fax: 732-341-0259
Dr. Jess G Alcid, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 530 Lakehurst Rd, Suite 101, Toms River, NJ 08755
Phone: 732-349-8454    Fax: 732-341-0259
Dr. Mark T Kasper, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 530 Lakehurst Rd, Suite 101, Toms River, NJ 08755
Phone: 732-349-8454    Fax: 732-341-0259

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.