Active NPI 1992810345 Individual Practitioner Male Practitioner

Dr. James Henry Blanton , MD

Internal Medicine • Hoover, AL

Professional Overview & Biography Verified Profile Summary

Dr. James Blanton, MD is a registered healthcare professional specializing in Internal Medicine in Hoover, AL. Practice services are available at 3420 PORTSMOUTH DR under active NPI credentials.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with high level of medical decision making, per day, if using time, at least, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3420 Portsmouth Dr

Hoover, AL 352262642

Telephone 2058798294

Fax 2058798259

Associated Practice Facility / Clinic

🏢 Southeastern Oncology Associates, Pc Facility NPI 1578506325

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Hoover, AL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 25.8 Yrs

State Avg: 29.0 Yrs

Regional Practice Density

19 Specialists

Practicing in Hoover, AL (1784 Statewide)

Telehealth Adoption Rate

31.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

16.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	365	80	$107.00	$98.22
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	243	64	$160.00	$140.02
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	136	52	$81.00	$67.92
99306 Initial nursing facility visit, typically 45 minutes per day	26	26	$198.00	$166.18
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	16	16	$108.00	$73.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	361	77	$107.00	$99.64
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	353	75	$160.00	$143.32
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	118	41	$121.00	$71.74
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	98	40	$80.00	$42.18
99306 Initial nursing facility visit, typically 45 minutes per day	40	37	$198.00	$171.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	354	89	$160.00	$126.55
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	292	81	$107.00	$85.80
99336 Established patient assisted living visit, typically 40 minutes	99	32	$161.00	$127.86
99337 Established patient assisted living visit, typically 60 minutes	90	34	$230.00	$183.31
99306 Initial nursing facility visit, typically 45 minutes per day	40	40	$198.00	$157.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	374	85	$160.00	$129.27
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	274	81	$107.00	$87.04
99337 Established patient assisted living visit, typically 60 minutes	244	32	$230.00	$186.20
99336 Established patient assisted living visit, typically 40 minutes	126	30	$161.00	$130.01
99306 Initial nursing facility visit, typically 45 minutes per day	62	59	$198.00	$159.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99337 Established patient assisted living visit, typically 60 minutes	351	64	$230.00	$187.75
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	350	84	$160.00	$129.50
99336 Established patient assisted living visit, typically 40 minutes	216	61	$161.00	$130.24
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	209	74	$107.00	$87.66
99306 Initial nursing facility visit, typically 45 minutes per day	38	38	$198.00	$161.59
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	25	12	$258.00	$173.39
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	21	17	$160.00	$128.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	267	93	$160.00	$127.86
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	253	66	$160.00	$127.51
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	175	76	$107.00	$86.15
99337 Established patient assisted living visit, typically 60 minutes	151	57	$230.00	$183.38
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	131	58	$107.00	$85.93
99336 Established patient assisted living visit, typically 40 minutes	128	44	$161.00	$127.82
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	26	26	$260.00	$207.77
99306 Initial nursing facility visit, typically 45 minutes per day	23	22	$198.00	$157.79
99306 Initial nursing facility visit, typically 45 minutes per day	12	12	$198.00	$157.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	467	98	$160.00	$124.42
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	297	91	$107.00	$83.51
99337 Established patient assisted living visit, typically 60 minutes	81	39	$230.00	$177.30
99336 Established patient assisted living visit, typically 40 minutes	49	27	$161.00	$124.16
99306 Initial nursing facility visit, typically 45 minutes per day	43	41	$198.00	$153.29
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	16	16	$260.00	$200.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	529	103	$160.00	$127.83
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	423	104	$107.00	$86.11
99306 Initial nursing facility visit, typically 45 minutes per day	76	48	$198.00	$157.65
99337 Established patient assisted living visit, typically 60 minutes	52	33	$230.00	$182.35
99336 Established patient assisted living visit, typically 40 minutes	26	20	$161.00	$127.46
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	22	22	$260.00	$206.01

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License AL 3558

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00492 (AL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Felix Dulanto , MD

Family Medicine

NPI 1043479124

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Practice Location March 06, 2018

Registered at 3420 PORTSMOUTH DR, HOOVER, AL 352262642 (Tel: 2058798294)

✅

NPI Profile Active October 11, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 11, 2016

Registered at 4453 FREDERICKSBURG CIR, MOUNTAIN BRK, AL 352131817 (Tel: 2058798259)

📍

Updated Business Mailing Address October 11, 2016

Registered at PO BOX 530604, BIRMINGHAM, AL 35253 (Tel: 2058798294)

👤

Provider Name / Credentials Updated October 11, 2016

Recorded as JAMES BLANTON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2016

Internal Medicine (License #3558 in AL)

🟢

Initial NPI Registration & Enumeration August 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992810345

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 19, 2006

Last Update: March 06, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 530604

Birmingham, AL 35253

Phone: 2058798294

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.