2026 NPPES data Orthopaedic Surgery of the Spine Physician NPI 1164819207 MD, MS
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GIDEON BLUMSTEIN, MD, MS

Orthopaedic Surgery of the Spine Physician in MARINA DEL REY, California. 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
59
Medicare Part D claims · 28 beneficiaries · Orthopaedic Surgery of the Spine Physician avg: 362
MIPS score
85.7185/100
▲ 3 pts above national avg 83.1 · [object Object]
Industry payments
$1.3K
10 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: GIDEON BLUMSTEIN, MD, MS is a Orthopaedic Surgery of the Spine Physician ([object Object]) practicing in MARINA DEL REY, California with a Medicare Part D prescribing footprint of 59 claims across 28 beneficiaries . Their CMS MIPS Final Score of 85.7185/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.3K across 10 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: GIDEON BLUMSTEIN, MD, MS reported a CMS MIPS final score of 85.7185 out of 100, above the 83.1 national average, and filed 59 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

GIDEON BLUMSTEIN, MD, MS practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

GIDEON BLUMSTEIN, MD, MS at a glance

High performer (top quartile)

NPI registry status

Active

Issued 04/15/2015

NPI 1164819207

Primary specialty

Orthopaedic Surgery of the Spine Physician

Niche

1,773 US NPIs in this specialty

Medicare Part D claims

59 84% vs specialty avg

2023 prescription claims

Specialty avg: 362

MIPS final score

85.7185/100 2.6185000000000116% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Orthopaedic Surgery of the Spine Physician compares to other specialties among California providers

California providers

Orthopaedic Surgery of the Spine Physician share within California

1. Orthopaedic Surgery of the Spine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Surgery of the Spine Physician share within California

Medicare quality performance — MIPS

GIDEON BLUMSTEIN, MD, MS's 2023 MIPS final score plotted against the Orthopaedic Surgery of the Spine Physician national average

High performer (top quartile)
MIPS Final Score
85.7185/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery of the Spine Physician) — 85.7185/100 vs national avg 83.1

0%100%National avg83%85.7%
MIPS final score (Orthopaedic Surgery of the Spine Physician) — 85.7185/100 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).

GIDEON BLUMSTEIN, MD, MS is a Orthopaedic Surgery of the Spine Physician provider practicing in MARINA DEL REY, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD, MS. NPI: 1164819207. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

GIDEON BLUMSTEIN, MD, MS appears in the CMS NPPES registry as a Orthopaedic Surgery of the Spine Physician provider holding MD, MS credentials at 4640 ADMIRALTY WAY STE 600, MARINA DEL REY, CA, 90292, with a listed phone of (310) 448-7890. NPI 1164819207 was issued on 04/15/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BLUMSTEIN 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 59 prescription claims written by this provider, covering 28 Medicare beneficiaries and totaling roughly $531 in drug spend, with an opioid prescribing rate of 18.6%. 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 85.7185/100 for the 2023 performance year (Quality 85.6751, Cost 61.479), compared with the national average of 83.1.

Orthopaedic Surgery of the Spine Physician is a narrow specialty nationwide, with 1,773 enrolled providers across 51 states and an average of 362 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

4640 ADMIRALTY WAY STE 600
MARINA DEL REY, CA 90292

Provider Details

NPI 1164819207
Specialty Orthopaedic Surgery of the Spine Physician
Credentials MD, MS
Gender Male
NPI Issued 04/15/2015

CMS Quality Score (MIPS)

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

85.7185
Final Score
Avg: 83.1
85.6751
Quality
61.479
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where GIDEON BLUMSTEIN, MD, MS bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

CEDARS-SINAI MEDICAL CARE FOUNDATION
MARINA DEL REY, CA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for GIDEON BLUMSTEIN, MD, MS. Source: openpaymentsdata.cms.gov.

Total received

$1.3K

Largest payer

Stryker Corporation

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to GIDEON BLUMSTEIN, MD, MS. To verify GIDEON BLUMSTEIN, MD, MS's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

59
Total Claims
$531
Total Drug Cost
28
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
60
Total Day Supply
992
Brand Drug Cost
$0
Generic Drug Cost
$531
Opioid Claims
11 (18.6% rate)

Patient Demographics

Average Patient Age
73.4 years
Avg HCC Risk Score
1.18
Gender Split
46% female / 54% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Meloxicam
15
Methylprednisolone
13

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

Orthopaedic Surgery of the Spine Physician Overview

How GIDEON BLUMSTEIN, MD, MS fits within the Orthopaedic Surgery of the Spine Physician landscape nationally.

1,773
Orthopaedic Surgery of the Spine Physician Providers in US
51
States with Orthopaedic Surgery of the Spine Physician
362
Avg Claims per Provider

GIDEON BLUMSTEIN, MD, MS's 59 claims are below the specialty average of 362.

Nearby Orthopaedic Surgery of the Spine Physician Providers in California

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

Compare Orthopaedic Surgery of the Spine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is GIDEON BLUMSTEIN, MD, MS's specialty?
GIDEON BLUMSTEIN, MD, MS specializes in Orthopaedic Surgery of the Spine Physician and practices in MARINA DEL REY, California. Credentials: MD, MS.
How much does GIDEON BLUMSTEIN, MD, MS prescribe under Medicare Part D?
In 2023, GIDEON BLUMSTEIN, MD, MS wrote 59 Medicare Part D claims totaling $531 in drug costs for 28 beneficiaries.
What is GIDEON BLUMSTEIN, MD, MS's Medicare quality score?
GIDEON BLUMSTEIN, MD, MS has a CMS MIPS Final Score of 85.7185/100 (Quality: 85.6751, Cost: 61.479). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GIDEON BLUMSTEIN, MD, MS located?
GIDEON BLUMSTEIN, MD, MS is located at 4640 ADMIRALTY WAY STE 600, MARINA DEL REY, CA, 90292. Phone: (310) 448-7890.
What is GIDEON BLUMSTEIN, MD, MS's NPI number?
GIDEON BLUMSTEIN, MD, MS's National Provider Identifier (NPI) is 1164819207, issued on 04/15/2015.
Does GIDEON BLUMSTEIN, MD, MS prescribe opioids?
Yes, GIDEON BLUMSTEIN, MD, MS had 11 opioid claims in 2023 with an opioid prescribing rate of 18.6%.
How many Orthopaedic Surgery of the Spine Physician providers are there in the US?
There are 1,773 Orthopaedic Surgery of the Spine Physician providers across 51 states in the US. The average Orthopaedic Surgery of the Spine Physician provider writes 362 Medicare Part D claims per year.
What drugs does GIDEON BLUMSTEIN, MD, MS prescribe most often?
Based on 2023 Medicare Part D data, GIDEON BLUMSTEIN, MD, MS's most frequently prescribed drugs include Meloxicam, Methylprednisolone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GIDEON BLUMSTEIN, MD, MS accept Medicare?
GIDEON BLUMSTEIN, MD, MS appears in CMS Medicare data with 59 Part D claims and 28 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GIDEON BLUMSTEIN, MD, MS's credentials?
GIDEON BLUMSTEIN, MD, MS's NPI is 1164819207 with credentials MD, MS. 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