NPI registry status
Active
2026 NPPES data Urology Physician NPI 1538367396 MD
Verify on CMS → Jeffrey Blitstein, MD
Urology Physician in Berkeley Heights, New Jersey.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 13,606 in Urology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
6K
Medicare Part D claims · 1K beneficiaries · Urology Physician avg: 1K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Jeffrey Blitstein, MD filed 5,915 Medicare Part D claims in 2024 as a Urology Physician in Berkeley Heights, New Jersey, prescribing 91% generic.
- 6K
- Part D claims, 2024
- 91%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥95th
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Jeffrey Blitstein, MD
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1538367396), first enumerated 07/03/2007.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 5,915 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1538367396 · Urology Physician
NPI-10 · ENUM-MID · TAX-MID · RX-MID · BOOK-THIN · PHOTO-ENUM
- NPI-10 1538367396
- ENUM-MID 2007
- TAX-MID 14K Urology Physician
- RX-MID 5,915
- BOOK-THIN 412 in New Jersey
- PHOTO-ENUM Paul Kahn, M.D. · 2007
Jeffrey Blitstein, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
5,915 ≥ 95th percentile 95% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
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).
What does the federal data show about Jeffrey Blitstein, MD?
Quality data not reportedPrimary specialty
Urology Physician
Medicare Part D claims
5,915 337% vs specialty avg
Specialty distribution in New Jersey
How Urology Physician compares to other specialties among New Jersey providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Urology Physician. Verify directly:
How MIPS and board certification work
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).
Practice Address
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 · Generic-heavy
Jeffrey Blitstein, MD - brand share 9.0%
Urology Physician average
9% brand-name claims vs 91% generic, on 5,915 2024 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 2024.
5,915
Total Claims
$580K
Total Drug Cost
1,362
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 14,213.867
- Total Day Supply
- 410,451
- Brand vs Generic
- 9% brand / 91% generic
- Brand Drug Cost
- $402K
- Generic Drug Cost
- $178K
- Opioid Claims
- 21 (0.4% rate)
- Antibiotic Claims
- 637
Patient Demographics
- Average Patient Age
- 76.4 years
- Avg HCC Risk Score
- 1.25
- Gender Split
- 12% female / 88% male
- Age Distribution
- <65: 18, 65-74: 566, 75-84: 590, 85+: 188
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Jeffrey Blitstein, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Tamsulosin Hcl
Tamsulosin Hcl
1,676 claims
- Finasteride
Finasteride
1,093 claims
- Alfuzosin Hcl Er 589
Alfuzosin Hcl Er
589 claims
- Myrbetriq 402
Myrbetriq
402 claims
- Silodosin 282
Silodosin
282 claims
- Cefuroxime 205
Cefuroxime
205 claims
- Oxybutynin Chlorid… 163
Oxybutynin Chloride Er
163 claims
- Sulfamethoxazole-T… 133
Sulfamethoxazole-Trimethoprim
133 claims
| Drug | Claims |
|---|---|
| Tamsulosin Hcl | 1,676 |
| Finasteride | 1,093 |
| Alfuzosin Hcl Er Alfuzosin Hcl | 589 |
| Myrbetriq Mirabegron | 402 |
| Silodosin | 282 |
| Cefuroxime Cefuroxime Axetil | 205 |
| Oxybutynin Chloride Er Oxybutynin Chloride | 163 |
| Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim | 133 |
| Potassium Citrate Er Potassium Citrate | 124 |
| Dutasteride | 102 |
* 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.
13,606
Urology Physician Providers in US
54
States with Urology Physician
1,354
Avg Claims per Provider
Jeffrey Blitstein, MD's 5,915 claims are above the specialty average of 1,354.
Nationwide Urology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Blitstein, both outside New Jersey so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
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.
One of 412 Urology Physician providers enrolled in New Jersey, 5 are shown here.
Joel Abramowitz
Jersey City, NJ
Dr. Anika Ackerman
MD
Morristown, NJ
Dr. Randy Ackerman
MD
Cherry Hill, NJ
Dr. Philip Affuso
MD
Englewood, NJ
Dr. Saurabh Agarwal
MD
Midland Park, NJ
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 2024, Jeffrey Blitstein, MD wrote 5,915 Medicare Part D claims totaling $580K in drug costs for 1,362 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 9% brand-name and 91% generic drugs by claim count, with $402K in brand drug costs.
Does Jeffrey Blitstein, MD prescribe opioids? ▼
Yes, Jeffrey Blitstein, MD had 21 opioid claims in 2024 with an opioid prescribing rate of 0.4%.
How many Urology Physician providers are there in the US? ▼
There are 13,606 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,354 Medicare Part D claims per year.
What drugs does Jeffrey Blitstein, MD prescribe most often? ▼
Based on 2024 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 5,915 Part D claims and 1,362 Medicare beneficiaries in 2024. 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
View source datasets and methodology notes
- 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.