Active NPI 1952479750 Individual Practitioner Male Practitioner

Dr. Jonathan D Blancaflor , MD

Surgery • Middletown, CT

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Blancaflor, MD is a certified Surgery practicing in Middletown, CT. With approximately 41 years of clinical experience since graduating from University Of Connecticut School Of Medicine in 1985, Dr. Blancaflor delivers high-quality medical care to the local community at 400 SAYBROOK RD.

Dr. Blancaflor is affiliated with Yale University and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

400 Saybrook Rd
Suite 110

Middletown, CT 06457

Telephone 8603479167

Fax 8603471630

Associated Practice Facility / Clinic

🏢 Middlesex Eye Physicians, P.c. Facility NPI 1295716413

Medicare Profile & Education

Medical School

University Of Connecticut School Of Medicine

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Middletown, CT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +15.2 yrs vs City Avg

City Avg: 25.8 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

8 Specialists

Practicing in Middletown, CT (388 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

67.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blancaflor (41 Years) 41 Yrs

Middletown Specialty Average (25.8 Years) 25.8 Yrs

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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	15	$375.00	$117.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$575.00	$174.69
99443 Telephone medical discussion with physician, 21-30 minutes	18	16	$375.00	$133.84
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$255.00	$94.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	19	$375.00	$137.01
99443 Telephone medical discussion with physician, 21-30 minutes	20	13	$375.00	$136.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$495.00	$191.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$575.00	$178.27
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$350.00	$87.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$575.00	$180.64
99443 Telephone medical discussion with physician, 21-30 minutes	15	13	$375.00	$138.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	11	$250.00	$75.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99441 Telephone medical discussion with physician, 5-10 minutes	19	16	$72.80	$35.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$317.00	$195.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$145.59	$82.09
99442 Telephone medical discussion with physician, 11-20 minutes	13	12	$117.60	$66.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$151.11	$73.16
99213 Established patient office or other outpatient visit, typically 15 minutes	37	27	$102.40	$50.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	29	$345.09	$201.27
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	16	$67.57	$39.01
99442 Telephone medical discussion with physician, 11-20 minutes	25	19	$82.50	$54.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	13	$61.60	$25.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$148.80	$78.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	35	29	$104.50	$49.35
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	17	$66.40	$37.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$105.76	$73.36
99213 Established patient office or other outpatient visit, typically 15 minutes	25	19	$70.00	$49.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$167.27	$73.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	20	$347.16	$195.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	14	$61.60	$25.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	12	$105.00	$76.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$157.38	$76.19
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$152.70	$97.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$105.00	$70.39
99221 Initial hospital inpatient care per day, typically 30 minutes	40	39	$145.09	$93.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	26	$105.00	$72.65
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	25	$64.00	$36.21
99213 Established patient office or other outpatient visit, typically 15 minutes	26	19	$70.00	$47.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	32	29	$150.00	$73.38
46221 Removal of external hemorrhoids by rubber banding	27	12	$800.00	$277.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	17	$80.00	$44.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$200.00	$109.19
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$150.00	$76.09

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CT 030814

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

001308148 (CT)

Commercial Insurance / Payer ID Railroad-Medicare

020020467 (CT)

Commercial Insurance / Payer ID Connecticare

706822 (CT)

Hospital & Practice Group Affiliations

Yale University

800 Howard Ave, New Haven, CT 065191369

Phone: 2037852140

Practice Associates & Co-Workers

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

8 Associated Practitioners

Dr. Kenneth Schwartz , MD

Surgery

NPI 1164606372

Doctor of Medicine (M.D.)

Gabrielle Berthiaume , NP

Nurse Practitioner - Family

NPI 1396354973

Nurse Practitioner

Elizabeth Archambault , REGISTERED DIETITIAN

Dietitian, Registered

NPI 1437375920

REGISTEREDDIETITIAN

Dana Cantiello , APRN, FNP-C

Nurse Practitioner - Family

NPI 1518513647

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Joseph Coatti , MD

Surgery - Vascular Surgery

NPI 1588732473

Doctor of Medicine (M.D.)

Mary Izzo , RD

Dietitian, Registered

NPI 1760790968

Registered Dietitian

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 13, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location May 13, 2008

Registered at 400 SAYBROOK RD, SUITE 110, MIDDLETOWN, CT 06457 (Tel: 8603479167)

📍

Updated Business Mailing Address May 13, 2008

Registered at 400 SAYBROOK RD, SUITE 110, MIDDLETOWN, CT 06457 (Tel: 8603479167)

👤

Provider Name / Credentials Updated May 13, 2008

Recorded as JONATHAN BLANCAFLOR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2008

Surgery (License #030814 in CT)

🟢

Initial NPI Registration & Enumeration December 01, 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: 1952479750

Entity Type:

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

Enumeration Date: December 01, 2006

Last Update: May 13, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

400 Saybrook Rd, Suite 110

Middletown, CT 06457

Phone: 8603479167

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.