Karl R. Blum, MD
NPI 1154361285ActiveIndividual· Orthopaedic Surgery, Sports Medicine· Toms River, NJ
Orthopaedic Surgery, Sports Medicine (MD) in Toms River, New Jersey, trained at Rutgers New Jersey Medical School (class of 1990). 878 Medicare patients in 2024, $309,667 paid; nearly all of their 335 Part D prescriptions were generic (97%). Zimmer Biomet Holdings, Inc. was the largest of 8 companies reporting payments in 2025, $435.11 in all, mostly food and beverage.
Overview
| NPI | 1154361285 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 7, 2006 |
| Last updated in NPPES | Jul 25, 2025 |
| Certified by provider | Jul 25, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Sports Medicine Primary | 207XX0005X | 25MA06431000 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Sports Medicine (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 878 |
|---|---|
| Services billed | 36,696 across 84 procedure codes |
| Paid by Medicare | $309,667 |
Part D prescriptions in 2024
| Prescriptions (claims) | 335 · 352 30-day fills |
|---|---|
| Patients | 172 |
| Total drug cost | $3,246 |
| Generic share | 97% of claims |
Education and affiliations
| Medical school | Rutgers New Jersey Medical School |
|---|---|
| Graduation year | 1990 |
| Medicare specialty | Sports Medicine |
| Secondary specialties | Orthopedic Surgery |
Medical groups
- Hackensack Meridian Health Medical Group - Specialty Care PCHackensack, NJ · 1,922 clinicians
- Ocean Orthopedic Associates, P.A.Toms River, NJ · 12 clinicians
Hospital affiliation
- Community Medical CenterToms River, NJ
Other facilities
- Visiting Nurse Association of Central Jersey Home Care and HospiceHome health agency · Toms River, NJ
Industry payments (Open Payments)
- 2025$435.11 · 13 payments from 8 companies
- 2024$3,331 · 17 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Zimmer Biomet Holdings, Inc. | $145.00 | 1 |
| Biotronik Nro, Inc. | $58.86 | 2 |
| Heraeus Medical, LLC. | $57.36 | 3 |
| Organogenesis Inc. | $48.59 | 2 |
| Stryker Corporation | $34.06 | 1 |
What the 2025 payments were for
- Food and Beverage$435.11 · 13 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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