2026 NPPES data Emergency Medicine Physician NPI 1932783305 MD
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KARALEE BLUHM, MD

Emergency Medicine Physician in TOMS RIVER, 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
23
Medicare Part D claims · 18 beneficiaries · Emergency Medicine Physician avg: 352
Industry payments
$800.06
7 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KARALEE BLUHM, MD is a Emergency Medicine Physician ([object Object]) practicing in TOMS RIVER, New Jersey with a Medicare Part D prescribing footprint of 23 claims across 18 beneficiaries . Industry payments of $800.06 across 7 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: KARALEE BLUHM, MD filed 23 Medicare Part D claims in 2023 across TOMS RIVER, New Jersey. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

KARALEE BLUHM, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

KARALEE BLUHM, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 05/11/2021

NPI 1932783305

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

23 93% vs specialty avg

2023 prescription claims

Specialty avg: 352

Specialty distribution in New Jersey

How Emergency Medicine Physician compares to other specialties among New Jersey providers

New Jersey providers

Emergency Medicine Physician share within New Jersey

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Emergency Medicine 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).

KARALEE BLUHM, MD is a Emergency Medicine Physician provider practicing in TOMS RIVER, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1932783305. 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.

KARALEE BLUHM, MD appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding MD credentials at 99 HIGHWAY 37 W, TOMS RIVER, NJ, 08755, with a listed phone of (732) 557-2604. NPI 1932783305 was issued on 05/11/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BLUHM 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 23 prescription claims written by this provider, covering 18 Medicare beneficiaries and totaling roughly $306 in drug spend. 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.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 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

99 HIGHWAY 37 W
TOMS RIVER, NJ 08755

Provider Details

NPI 1932783305
Specialty Emergency Medicine Physician
Credentials MD
Gender Female
NPI Issued 05/11/2021

Hospital and facility affiliations

Facilities where KARALEE BLUHM, 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.

RWJBH EMERGENCY MEDICINE ASSOCIATES, LLC
TOMS RIVER, NJ
SPOKANE EMERGENCY CARE PHYSICIANS PLLC
SPOKANE, WA

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 KARALEE BLUHM, MD. Source: openpaymentsdata.cms.gov.

Total received

$800

Largest payer

Mindray DS USA, Inc.

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.

Medicare Part D Prescribing Data

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

23
Total Claims
$306
Total Drug Cost
18
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
23
Total Day Supply
187
Generic Drug Cost
$296
Antibiotic Claims
12

Patient Demographics

Average Patient Age
73.2 years
Avg HCC Risk Score
1.65

Emergency Medicine Physician Overview

How KARALEE BLUHM, MD fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

KARALEE BLUHM, MD's 23 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in New Jersey

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

Compare Emergency Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KARALEE BLUHM, MD's specialty?
KARALEE BLUHM, MD specializes in Emergency Medicine Physician and practices in TOMS RIVER, New Jersey. Credentials: MD.
How much does KARALEE BLUHM, MD prescribe under Medicare Part D?
In 2023, KARALEE BLUHM, MD wrote 23 Medicare Part D claims totaling $306 in drug costs for 18 beneficiaries.
Where is KARALEE BLUHM, MD located?
KARALEE BLUHM, MD is located at 99 HIGHWAY 37 W, TOMS RIVER, NJ, 08755. Phone: (732) 557-2604.
What is KARALEE BLUHM, MD's NPI number?
KARALEE BLUHM, MD's National Provider Identifier (NPI) is 1932783305, issued on 05/11/2021.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
Does KARALEE BLUHM, MD accept Medicare?
KARALEE BLUHM, MD appears in CMS Medicare data with 23 Part D claims and 18 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KARALEE BLUHM, MD's credentials?
KARALEE BLUHM, MD's NPI is 1932783305 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