2026 NPPES data Rheumatology Physician NPI 1639243223 MD
Verify on CMS →

DAVID BLUMENTHAL, MD

Rheumatology Physician in BEACHWOOD, Ohio. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
238
Medicare Part D claims · 64 beneficiaries · Rheumatology Physician avg: 2K
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.4829/100
▼ 4 pts below national avg 83.1 · [object Object]

What the federal data shows

DAVID BLUMENTHAL, MD reported a CMS MIPS final score of 79.4829/100 — below the 83.1 national average — and filed 238 Medicare Part D claims in 2023.

79.4829/100
MIPS score · -4 vs avg
238
Part D claims, 2023
82%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

DAVID BLUMENTHAL, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

79 30th percentile higher than 30% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

DAVID BLUMENTHAL, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about DAVID BLUMENTHAL, MD?

Near national average

NPI registry status

Active

Issued 11/17/2006

NPI 1639243223

Primary specialty

Rheumatology Physician

Mid-sized

6,181 US NPIs in this specialty

Medicare Part D claims

238 88% vs specialty avg

2023 prescription claims

Specialty avg: 2,054

MIPS final score

79.4829/100 3.6170999999999935% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Ohio

How Rheumatology Physician compares to other specialties among Ohio providers

Ohio providers

Rheumatology Physician share within Ohio

1. Rheumatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Rheumatology Physician share within Ohio

Medicare quality performance — MIPS

DAVID BLUMENTHAL, MD's 2023 MIPS final score plotted against the Rheumatology Physician national average

Near national average
MIPS Final Score
79.4829/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Rheumatology Physician) — 79.4829/100 vs national avg 83.1

0%100%National avg83%79.5%
MIPS final score (Rheumatology Physician) — 79.4829/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

DAVID BLUMENTHAL, MD appears in the CMS NPPES registry as a Rheumatology Physician provider holding MD credentials at 3909 ORANGE PL, BEACHWOOD, OH, 44122, with a listed phone of (216) 844-8500. NPI 1639243223 was issued on 11/17/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BLUMENTHAL most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 238 prescription claims written by this provider, covering 64 Medicare beneficiaries and totaling roughly $283K in drug spend, split 18% brand-name and 82% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 79.4829/100 for the 2023 performance year (Quality 68.5144, Cost 63.0952), compared with the national average of 83.1.

Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

3909 ORANGE PL
BEACHWOOD, OH 44122

Provider Details

NPI 1639243223
Specialty Rheumatology Physician
Credentials MD
Gender Male
NPI Issued 11/17/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

79.4829
Final Score
Avg: 83.1
68.5144
Quality
63.0952
Cost
100
Promoting Interoperability

Reporting: Group practice

License & disciplinary context — Ohio OMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 — they are NOT specific to DAVID BLUMENTHAL, MD. To verify DAVID BLUMENTHAL, MD's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

DAVID BLUMENTHAL, MD — brand share 18.0%
Specialty average (est.)

18% brand-name claims vs 82% generic, on 238 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

238
Total Claims
$283K
Total Drug Cost
64
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
416
Total Day Supply
12,300
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$272K
Generic Drug Cost
$11K

Patient Demographics

Average Patient Age
70.7 years
Avg HCC Risk Score
1.93
Gender Split
70% female / 30% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What DAVID BLUMENTHAL, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Prednisone
50
Methotrexate
Methotrexate Sodium
38
Hydroxychloroquine Sulfate
23
Allopurinol
21
Colchicine
13
Xeljanz
Tofacitinib Citrate
12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Rheumatology Physician Overview

How DAVID BLUMENTHAL, MD fits within the Rheumatology Physician landscape nationally.

6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider

DAVID BLUMENTHAL, MD's 238 claims are below the specialty average of 2,054.

Nearby Rheumatology Physician Providers in Ohio

Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as BLUMENTHAL.

Compare Rheumatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DAVID BLUMENTHAL, MD's specialty?
DAVID BLUMENTHAL, MD specializes in Rheumatology Physician and practices in BEACHWOOD, Ohio. Credentials: MD.
How much does DAVID BLUMENTHAL, MD prescribe under Medicare Part D?
In 2023, DAVID BLUMENTHAL, MD wrote 238 Medicare Part D claims totaling $283K in drug costs for 64 beneficiaries.
What is DAVID BLUMENTHAL, MD's Medicare quality score?
DAVID BLUMENTHAL, MD has a CMS MIPS Final Score of 79.4829/100 (Quality: 68.5144, Cost: 63.0952). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DAVID BLUMENTHAL, MD located?
DAVID BLUMENTHAL, MD is located at 3909 ORANGE PL, BEACHWOOD, OH, 44122. Phone: (216) 844-8500.
What is DAVID BLUMENTHAL, MD's NPI number?
DAVID BLUMENTHAL, MD's National Provider Identifier (NPI) is 1639243223, issued on 11/17/2006.
Does DAVID BLUMENTHAL, MD prescribe more brand-name or generic drugs?
DAVID BLUMENTHAL, MD's prescribing is 18% brand-name and 82% generic drugs by claim count, with $272K in brand drug costs.
How many Rheumatology Physician providers are there in the US?
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does DAVID BLUMENTHAL, MD prescribe most often?
Based on 2023 Medicare Part D data, DAVID BLUMENTHAL, MD's most frequently prescribed drugs include Prednisone, Methotrexate, Hydroxychloroquine Sulfate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DAVID BLUMENTHAL, MD accept Medicare?
DAVID BLUMENTHAL, MD appears in CMS Medicare data with 238 Part D claims and 64 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DAVID BLUMENTHAL, MD's credentials?
DAVID BLUMENTHAL, MD's NPI is 1639243223 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology