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 13,350 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
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
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Jeffrey Blitstein, MD filed 4,440 Medicare Part D claims in 2023 as a Urology Physician in Berkeley Heights, New Jersey, prescribing 90% generic.
- 4K
- Part D claims, 2023
- 90%
- 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.
Jeffrey Blitstein, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
4,440 Top 7% higher than 93% of 1,370,886 prescribers
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.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
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
4,440 247% 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).
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.
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%.
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
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%
Urology Physician average
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.
What Jeffrey Blitstein, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Tamsulosin Hcl
Tamsulosin Hcl
1,294 claims
- Finasteride
Finasteride
846 claims
- Alfuzosin Hcl Er 454
Alfuzosin Hcl Er
454 claims
- Myrbetriq 339
Myrbetriq
339 claims
- Silodosin 220
Silodosin
220 claims
- Cefuroxime 168
Cefuroxime
168 claims
- Oxybutynin Chlorid… 112
Oxybutynin Chloride Er
112 claims
- Sulfamethoxazole-T… 95
Sulfamethoxazole-Trimethoprim
95 claims
| 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.
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 →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the New Jersey medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Urology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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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
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 (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
Compiled from official public sources by the PlainDoctor editorial team.