Karl R. Blum, MD
Sports Medicine (Orthopaedic Surgery) Physician · Toms River, NJ
Karl R. Blum, MD is a sports medicine (orthopaedic surgery) physician with a practice address in Toms River, New Jersey, and NPI 1154361285, issued on Jun 7, 2006. Check the license (New Jersey 25MA06431000, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Karl R. Blum
- Credential
- MD
- Primary taxonomy
- Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X
- License number
- 25MA06431000 NJ
Self-reported in NPPES; status is on the state search - Practice location
- 530 Lakehurst RD Ste 101, Toms River, NJ 08755
- Phone
- (732) 349-8454
- Enumerated
- Jun 7, 2006
- Record last updated
- Jul 25, 2025
- Fax
- (732) 341-0259
- Medicare enrollment
- Enrolled (PECOS I20101117000519); accepts Medicare assignment
- Medical or professional school
- Rutgers New Jersey Medical School, 1990
- Entity
- Type 1 · individual
8 nearest sports medicine (orthopaedic surgery) physician records → All 103 in New Jersey → Look up another NPI →
Also registered at 530 Lakehurst RD Ste 101
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jess Alcid, MDSports Medicine (Orthopaedic Surgery) Physician1235179896
- Sripad Dhawlikar, MDOrthopaedic Surgery of the Spine Physician1659327898
- Gina Downing, APN-CAdult Health Nurse Practitioner1326634718
- Esther Genack, P.A.Physician Assistant1659650737
- Courtney Haid, PA - CSurgical Physician Assistant1912479916
- Mark Harrington, D.O.Sports Medicine (Family Medicine) Physician1710212667
Verify Karl R. Blum in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
Search for license 25MA06431000Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
16% more Medicare Part D claims than the average sports medicine (orthopaedic surgery) physician in 2024
335 Medicare Part D claims for 172 beneficiaries, against an average of 288 among the 2,562 providers of this specialty who prescribed in Part D. 102 claims were for opioids.
Most prescribed
- Tramadol Hcl67 claims
- Methylprednisolone58 claims
- Cephalexin52 claims
- Oxycodone-Acetaminophen31 claims
- Meloxicam28 claims
- Clindamycin Hcl13 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 10 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $3,330.56
17 payments; by number, the most common kind was food and beverage; the largest payer was Zimmer Biomet Holdings, Inc. The 2,400 providers of this specialty with any payment received $19,779.31 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Hackensack Meridian Health Medical Group - Specialty Care PCNeptune, NJ
- Ocean Orthopedic Associates, P.A.Toms River, NJ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Karl R. Blum among 103 sports medicine (orthopaedic surgery) physician records in New Jersey
Karl R. Blum, MD is one of 103 sports medicine (orthopaedic surgery) physician records with a practice address in New Jersey. 90% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 13% of them.
- NPI issued2006 · 13% of these records are older, 45% newer
- In a Medicare fileYes · 90% of these records are
- In the CMS Doctors and Clinicians fileYes · 75% of these records are
- Graduated1990 · median 2001 among the 77 with a school on file
- Record last updated2025 · 50% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207XX0005X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Sports Medicine (Orthopaedic Surgery) Physician providers in New Jersey
There are 103 sports medicine (orthopaedic surgery) physician records in New Jersey.
All 103 in New Jersey → Every provider in Toms River → Sports Medicine (Orthopaedic Surgery) Physician nationwide →
The 8 sports medicine (orthopaedic surgery) physician records with the nearest ZIP codes
- Jess Alcid, MDToms River, NJ 087551235179896
- Erik Larsen, D.O.Toms River, NJ 087551508841305
- Toby Husserl, M.D.Sea Girt, NJ 087501548249063
- Anthony Petrosini, MDManasquan, NJ 087361962481499
- Michael Sclafani, MDManasquan, NJ 087361366421703
- William Law, MDBrick, NJ 087241194706192
- Jason Nitche, MDBrick, NJ 087241700050978
- Bruce Stamos, MDBrick, NJ 087241669453650
Common questions
What is Karl R. Blum, MD's NPI number?
Karl R. Blum, MD's National Provider Identifier (NPI) is 1154361285, issued on Jun 7, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Karl R. Blum, MD located?
The NPPES record lists a practice address at 530 Lakehurst RD Ste 101, Toms River, NJ, 08755. Phone: (732) 349-8454. Providers update this record themselves, so call before visiting.
How can I verify Karl R. Blum, MD's license?
NPPES lists New Jersey license number 25MA06431000, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Karl R. Blum, MD prescribe under Medicare Part D?
In 2024, Karl R. Blum, MD had 335 Medicare Part D claims for 172 beneficiaries; the average among sports medicine (orthopaedic surgery) physician prescribers was 288. Part D covers Medicare prescriptions only.
What is Karl R. Blum, MD's MIPS final score?
The 2023 MIPS final score is 10 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.