2026 NPPES data Interventional Cardiology Physician NPI 1568441921 MD
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STEVEN BLUMENTHAL, MD

Interventional Cardiology Physician in COLD SPRING HARBOR, New York. 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
20K
Medicare Part D claims · 15K beneficiaries · Interventional Cardiology Physician avg: 3K
Generic prescribing
7%
generic claims · 93% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$582.54
23 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: STEVEN BLUMENTHAL, MD is a Interventional Cardiology Physician ([object Object]) practicing in COLD SPRING HARBOR, New York with a Medicare Part D prescribing footprint of 20K claims across 15K beneficiaries — 93% brand-name prescribing . Industry payments of $582.54 across 23 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: STEVEN BLUMENTHAL, MD filed 19,648 Medicare Part D claims in 2023 across COLD SPRING HARBOR, New York. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

STEVEN BLUMENTHAL, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

STEVEN BLUMENTHAL, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 01/13/2006

NPI 1568441921

Primary specialty

Interventional Cardiology Physician

Niche

3,382 US NPIs in this specialty

Medicare Part D claims

19,648 558% vs specialty avg

2023 prescription claims

Specialty avg: 2,984

Specialty distribution in New York

How Interventional Cardiology Physician compares to other specialties among New York providers

New York providers

Interventional Cardiology Physician share within New York

1. Interventional Cardiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Interventional Cardiology Physician share within New York

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Interventional Cardiology 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).

STEVEN BLUMENTHAL, MD is a Interventional Cardiology Physician provider practicing in COLD SPRING HARBOR, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1568441921. 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.

STEVEN BLUMENTHAL, MD appears in the CMS NPPES registry as a Interventional Cardiology Physician provider holding MD credentials at 98 WOODCHUCK HOLLOW RD, COLD SPRING HARBOR, NY, 11724, with a listed phone of (516) 499-3964. NPI 1568441921 was issued on 01/13/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BLUMENTHAL 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 19,648 prescription claims written by this provider, covering 14,566 Medicare beneficiaries and totaling roughly $4.8 million in drug spend, split 93% brand-name and 7% generic by claim count, with an opioid prescribing rate of 0.1%. 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.

Interventional Cardiology Physician is a narrow specialty nationwide, with 3,382 enrolled providers across 53 states and an average of 2,984 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

98 WOODCHUCK HOLLOW RD
COLD SPRING HARBOR, NY 11724

Provider Details

NPI 1568441921
Specialty Interventional Cardiology Physician
Credentials MD
Gender Male
NPI Issued 01/13/2006

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 STEVEN BLUMENTHAL, MD. Source: openpaymentsdata.cms.gov.

Total received

$583

Largest payer

Amgen 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.

License & disciplinary context — New York NYSBPMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 — they are NOT specific to STEVEN BLUMENTHAL, MD. To verify STEVEN BLUMENTHAL, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

STEVEN BLUMENTHAL, MD — brand share 93.0%
Specialty average (est.)

93% brand-name claims vs 7% generic, on 19,648 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.

19,648
Total Claims
$4.8M
Total Drug Cost
14,566
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
22,171
Total Day Supply
143,687
Brand vs Generic
93% brand / 7% generic
Brand Drug Cost
$4.8M
Generic Drug Cost
$38K
Opioid Claims
23 (0.1% rate)
Antibiotic Claims
14

Patient Demographics

Average Patient Age
74.9 years
Avg HCC Risk Score
1.03
Gender Split
57% female / 43% male
Age Distribution
<65: 512, 65-74: 6,959, 75-84: 5,575, 85+: 1,520

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Shingrix
Varicella-Zoster Ge/As01b/Pf
7,695
Arexvy
Rsvpref3 Antigen/As01e/Pf
5,253
Metoprolol Succinate
197
Rosuvastatin Calcium
145
Amlodipine Besylate
114
Twinrix
Hepatitis A And B Vaccine/Pf
87
Clopidogrel
Clopidogrel Bisulfate
59
Atorvastatin Calcium
56
Pravastatin Sodium
47
Eliquis
Apixaban
41

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

Interventional Cardiology Physician Overview

How STEVEN BLUMENTHAL, MD fits within the Interventional Cardiology Physician landscape nationally.

3,382
Interventional Cardiology Physician Providers in US
53
States with Interventional Cardiology Physician
2,984
Avg Claims per Provider

STEVEN BLUMENTHAL, MD's 19,648 claims are above the specialty average of 2,984.

Nearby Interventional Cardiology Physician Providers in New York

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

Compare Interventional Cardiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is STEVEN BLUMENTHAL, MD's specialty?
STEVEN BLUMENTHAL, MD specializes in Interventional Cardiology Physician and practices in COLD SPRING HARBOR, New York. Credentials: MD.
How much does STEVEN BLUMENTHAL, MD prescribe under Medicare Part D?
In 2023, STEVEN BLUMENTHAL, MD wrote 19,648 Medicare Part D claims totaling $4.8M in drug costs for 14,566 beneficiaries.
Where is STEVEN BLUMENTHAL, MD located?
STEVEN BLUMENTHAL, MD is located at 98 WOODCHUCK HOLLOW RD, COLD SPRING HARBOR, NY, 11724. Phone: (516) 499-3964.
What is STEVEN BLUMENTHAL, MD's NPI number?
STEVEN BLUMENTHAL, MD's National Provider Identifier (NPI) is 1568441921, issued on 01/13/2006.
Does STEVEN BLUMENTHAL, MD prescribe more brand-name or generic drugs?
STEVEN BLUMENTHAL, MD's prescribing is 93% brand-name and 7% generic drugs by claim count, with $4.8M in brand drug costs.
Does STEVEN BLUMENTHAL, MD prescribe opioids?
Yes, STEVEN BLUMENTHAL, MD had 23 opioid claims in 2023 with an opioid prescribing rate of 0.1%.
How many Interventional Cardiology Physician providers are there in the US?
There are 3,382 Interventional Cardiology Physician providers across 53 states in the US. The average Interventional Cardiology Physician provider writes 2,984 Medicare Part D claims per year.
What drugs does STEVEN BLUMENTHAL, MD prescribe most often?
Based on 2023 Medicare Part D data, STEVEN BLUMENTHAL, MD's most frequently prescribed drugs include Shingrix, Arexvy, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does STEVEN BLUMENTHAL, MD accept Medicare?
STEVEN BLUMENTHAL, MD appears in CMS Medicare data with 19,648 Part D claims and 14,566 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify STEVEN BLUMENTHAL, MD's credentials?
STEVEN BLUMENTHAL, MD's NPI is 1568441921 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