2026 NPPES data Urology Physician NPI 1538367396 MD
Verify on CMS →

JEFFREY BLITSTEIN, MD

Urology Physician in BERKELEY HEIGHTS, New Jersey. 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
4K
Medicare Part D claims · 1K beneficiaries · Urology Physician avg: 1K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: JEFFREY BLITSTEIN, MD is a Urology Physician ([object Object]) practicing in BERKELEY HEIGHTS, New Jersey with a Medicare Part D prescribing footprint of 4K claims across 1K beneficiaries — 10% brand-name prescribing .

What stands out: JEFFREY BLITSTEIN, MD filed 4,440 Medicare Part D claims in 2023 across BERKELEY HEIGHTS, New Jersey. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

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

JEFFREY BLITSTEIN, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 07/03/2007

NPI 1538367396

Primary specialty

Urology Physician

Mid-sized

13,350 US NPIs in this specialty

Medicare Part D claims

4,440 247% vs specialty avg

2023 prescription claims

Specialty avg: 1,280

Specialty distribution in New Jersey

How Urology Physician compares to other specialties among New Jersey providers

New Jersey providers

Urology Physician share within New Jersey

1. Urology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Urology Physician share within New Jersey

Specialty board-certification context

Estimated specialty board-certified rate — Urology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Urology Physician ABMS/AOA estimate

Est. board-certified rate (Urology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Urology Physician) — ABMS / AOA estimate

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).

JEFFREY BLITSTEIN, MD is a Urology Physician provider practicing in BERKELEY HEIGHTS, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1538367396. 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.

JEFFREY BLITSTEIN, MD appears in the CMS NPPES registry as a Urology Physician provider holding MD credentials at 1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ, 07922, with a listed phone of (908) 277-8679. NPI 1538367396 was issued on 07/03/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BLITSTEIN 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 4,440 prescription claims written by this provider, covering 1,112 Medicare beneficiaries and totaling roughly $487K in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 0.4%. 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.

Urology Physician is a mid-sized specialty nationwide, with 13,350 enrolled providers across 54 states and an average of 1,280 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

1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

Provider Details

NPI 1538367396
Specialty Urology Physician
Credentials MD
Gender Male
NPI Issued 07/03/2007

Hospital and facility affiliations

Facilities where JEFFREY BLITSTEIN, MD 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.

SUMMIT MEDICAL GROUP PA
BERKELEY HEIGHTS, NJ

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

Brand vs generic prescribing mix · Typical

JEFFREY BLITSTEIN, MD — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 4,440 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.

4,440
Total Claims
$487K
Total Drug Cost
1,112
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
10,717
Total Day Supply
310,694
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$338K
Generic Drug Cost
$149K
Opioid Claims
16 (0.4% rate)
Antibiotic Claims
427

Patient Demographics

Average Patient Age
76.0 years
Avg HCC Risk Score
1.22
Gender Split
13% female / 87% male
Age Distribution
<65: 17, 65-74: 493, 75-84: 454, 85+: 148

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Tamsulosin Hcl
1,294
Finasteride
846
Alfuzosin Hcl Er
Alfuzosin Hcl
454
Myrbetriq
Mirabegron
339
Silodosin
220
Cefuroxime
Cefuroxime Axetil
168
Oxybutynin Chloride Er
Oxybutynin Chloride
112
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
95
Potassium Citrate Er
Potassium Citrate
93
Testosterone
86

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

Urology Physician Overview

How JEFFREY BLITSTEIN, MD fits within the Urology Physician landscape nationally.

13,350
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider

JEFFREY BLITSTEIN, MD's 4,440 claims are above the specialty average of 1,280.

Nearby Urology Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as BLITSTEIN.

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

Frequently Asked Questions

What is JEFFREY BLITSTEIN, MD's specialty?
JEFFREY BLITSTEIN, MD specializes in Urology Physician and practices in BERKELEY HEIGHTS, New Jersey. Credentials: MD.
How much does JEFFREY BLITSTEIN, MD prescribe under Medicare Part D?
In 2023, JEFFREY BLITSTEIN, MD wrote 4,440 Medicare Part D claims totaling $487K in drug costs for 1,112 beneficiaries.
Where is JEFFREY BLITSTEIN, MD located?
JEFFREY BLITSTEIN, MD is located at 1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ, 07922. Phone: (908) 277-8679.
What is JEFFREY BLITSTEIN, MD's NPI number?
JEFFREY BLITSTEIN, MD's National Provider Identifier (NPI) is 1538367396, issued on 07/03/2007.
Does JEFFREY BLITSTEIN, MD prescribe more brand-name or generic drugs?
JEFFREY BLITSTEIN, MD's prescribing is 10% brand-name and 90% generic drugs by claim count, with $338K in brand drug costs.
Does JEFFREY BLITSTEIN, MD prescribe opioids?
Yes, JEFFREY BLITSTEIN, MD had 16 opioid claims in 2023 with an opioid prescribing rate of 0.4%.
How many Urology Physician providers are there in the US?
There are 13,350 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does JEFFREY BLITSTEIN, MD prescribe most often?
Based on 2023 Medicare Part D data, JEFFREY BLITSTEIN, MD's most frequently prescribed drugs include Tamsulosin Hcl, Finasteride, Alfuzosin Hcl Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JEFFREY BLITSTEIN, MD accept Medicare?
JEFFREY BLITSTEIN, MD appears in CMS Medicare data with 4,440 Part D claims and 1,112 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JEFFREY BLITSTEIN, MD's credentials?
JEFFREY BLITSTEIN, MD's NPI is 1538367396 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.
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