Active NPI 1659809945 Individual Practitioner Female Practitioner

Dr. Brittany Noel Blaise , MD

Dermatology • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brittany Blaise, MD is a certified Dermatology practicing in Springfield, IL. With approximately 9 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 2017, Dr. Blaise delivers high-quality medical care to the local community at 751 N RUTLEDGE ST STE 2300.

Dr. Blaise is affiliated with Siu Physicians And Surgeons Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

751 N Rutledge St Ste 2300

Springfield, IL 627024968

Telephone 2175458000

Fax 2175457438

Associated Practice Facility / Clinic

🏢 Siu Physicians & Surgeons, Inc Facility NPI 1790705507

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Springfield, IL

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs -10.1 yrs vs City Avg

City Avg: 19.1 Yrs

State Avg: 23.1 Yrs

Regional Practice Density

36 Specialists

Practicing in Springfield, IL (673 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blaise (9 Years) 9 Yrs

Springfield Specialty Average (19.1 Years) 19.1 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
17003 Destruction of precancer skin growth, 2-14 growths	895	219	$30.00	$5.91
99213 Established patient office or other outpatient visit, typically 15 minutes	322	311	$252.96	$86.13
17000 Destruction of skin growth	273	265	$230.77	$48.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	147	141	$360.22	$121.34
11102 Tangential biopsy of single skin lesion	119	115	$656.00	$81.64
17110 Destruction of up to 14 skin growths	92	92	$335.87	$97.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	88	85	$157.82	$53.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$317.43	$104.38
11103 Biopsy of related skin growth, each additional growth	45	29	$360.00	$46.62
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	33	27	$540.91	$139.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$470.89	$160.91
69100 Biopsy of ear	20	19	$464.00	$67.05
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	18	17	$557.89	$172.49
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$206.00	$64.78
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	13	12	$429.62	$101.51
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	13	11	$485.85	$120.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	869	199	$30.00	$6.28
99213 Established patient office or other outpatient visit, typically 15 minutes	315	297	$257.00	$87.39
17000 Destruction of skin growth	249	240	$231.00	$49.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	95	$365.00	$123.46
11102 Tangential biopsy of single skin lesion	97	97	$656.00	$86.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$320.22	$109.56
17110 Destruction of up to 14 skin growths	63	63	$317.00	$104.67
11103 Biopsy of related skin growth, each additional growth	54	36	$360.00	$48.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	42	$160.00	$54.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$478.00	$162.93
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	23	20	$506.00	$146.13
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	17	14	$417.00	$104.41
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	11	11	$535.00	$173.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	917	223	$30.00	$6.35
17000 Destruction of skin growth	300	286	$231.00	$47.72
99213 Established patient office or other outpatient visit, typically 15 minutes	233	228	$143.00	$87.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	167	161	$81.00	$54.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	159	147	$207.00	$122.07
11102 Tangential biopsy of single skin lesion	134	126	$656.00	$82.76
17110 Destruction of up to 14 skin growths	123	118	$302.00	$101.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$213.14	$107.26
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	70	16	$7.00	$1.11
11103 Biopsy of related skin growth, each additional growth	69	43	$360.00	$49.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$303.89	$155.75
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	30	24	$485.83	$141.98
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$138.00	$70.64
17004 Destruction of precancer skin growth, 15 or more growths	20	19	$473.00	$161.73
69100 Biopsy of ear	16	14	$464.00	$64.06
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	16	13	$54.00	$13.73
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	16	13	$397.00	$119.19
11104 Punch biopsy, first skin growth	11	11	$818.00	$122.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	336	69	$30.00	$6.16
17000 Destruction of skin growth	85	85	$231.00	$50.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	57	$81.00	$54.49
99213 Established patient office or other outpatient visit, typically 15 minutes	55	55	$143.00	$86.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	42	$207.00	$126.87
17110 Destruction of up to 14 skin growths	37	37	$302.00	$107.21
11102 Tangential biopsy of single skin lesion	26	25	$656.00	$84.24
11103 Biopsy of related skin growth, each additional growth	15	12	$360.00	$50.87
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$138.00	$71.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$303.00	$155.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$212.00	$110.07

Medical Specialties & State Licenses

CMS Verified: 2021-06-25

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License IL 036-156124

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License IL 125070050

Hospital & Practice Group Affiliations

Siu Physicians And Surgeons Inc

751 N Rutledge St, Springfield, IL 627024968

Phone: 2175458000

Practice Associates & Co-Workers

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

40 Associated Practitioners

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Social Worker - Clinical

NPI 1003247115

Licensed Clinical Social Worker

Dr. Fadel Bofarrag , MD, MPH

Internal Medicine - Cardiovascular Disease

NPI 1003291279

Doctor of Medicine (M.D.), Master of Public Health

Jerry Priddy , PA-C

Physician Assistant

NPI 1003351115

Physician Assistant (Certified)

Dr. Ashley Mohan , DO

Internal Medicine - Hematology & Oncology

NPI 1003377565

Doctor of Osteopathic Medicine (D.O.)

Dr. Linda Ponce Rosas , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003501065

Doctor of Medicine (M.D.)

Jay Benoit

Nurse Practitioner - Family

NPI 1003579335

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address June 25, 2021

Registered at 201 E MADISON ST, SPRINGFIELD, IL 627025131 (Tel: 2175458000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2021

Dermatology (License #036-156124 in IL)

✅

NPI Profile Active May 31, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 31, 2017

Registered at 751 N RUTLEDGE ST STE 2300, SPRINGFIELD, IL 627024968 (Tel: 2175458000)

📍

Updated Business Mailing Address May 31, 2017

Registered at PO BOX 19644, SPRINGFIELD, IL 627949644 (Tel: 2175458000)

👤

Provider Name / Credentials Updated May 31, 2017

Recorded as BRITTANY BLAISE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2017

Dermatology (License #125070050 in IL)

🟢

Initial NPI Registration & Enumeration May 31, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1659809945

Entity Type:

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

Enumeration Date: May 31, 2017

Last Update: June 25, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

201 E Madison St

Springfield, IL 627025131

Phone: 2175458000

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.