Active NPI 1124037726 Individual Practitioner Male Practitioner

Dr. Anthony Paul Blalock , MD

Internal Medicine - Nephrology • Lafayette, LA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Blalock, MD is a certified Internal Medicine - Nephrology practicing in Lafayette, LA. With approximately 23 years of clinical experience since graduating from Louisiana State University School Of Medicine In New Orleans in 2003, Dr. Blalock delivers high-quality medical care to the local community at 2804 AMBASSADOR CAFFERY PKWY.

Dr. Blalock maintains professional affiliations with Gulf Coast Nephrology, Llc, Acadiana Renal Physicians Amc, Louisiana Kidney Update Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, dialysis services, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2804 Ambassador Caffery Pkwy

Lafayette, LA 705065906

Telephone 3379815156

Fax 3379810673

Associated Practice Facility / Clinic

🏢 Bio-Medical Applications Of Louisiana, Llc Facility NPI 1558473322

Medicare Profile & Education

Medical School

Louisiana State University School Of Medicine In New Orleans

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Lafayette, LA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs -3.6 yrs vs City Avg

City Avg: 26.6 Yrs

State Avg: 27.1 Yrs

Regional Practice Density

13 Specialists

Practicing in Lafayette, LA (225 Statewide)

Telehealth Adoption Rate

7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blalock (23 Years) 23 Yrs

Lafayette Specialty Average (26.6 Years) 26.6 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	920	312	$175.09	$73.40
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	435	68	$907.00	$328.96
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	418	179	$39.00	$15.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	393	173	$328.00	$102.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	275	233	$341.00	$121.20
99231 Follow-up hospital inpatient care per day, typically 15 minutes	211	123	$94.07	$46.09
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	138	64	$751.00	$271.79
90935 Hemodialysis procedure with physician evaluation	110	74	$184.00	$65.90
90970 Dialysis services, per day, less than full month service (20 years or older)	99	11	$25.00	$8.78
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	80	59	$259.00	$109.19
99213 Established patient office or other outpatient visit, typically 15 minutes	36	31	$232.00	$73.55
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	32	$276.75	$162.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	21	$458.00	$113.36
81003 Automated urinalysis test	26	26	$6.00	$2.20
82570 Creatinine level to test for kidney function or muscle injury	26	26	$13.00	$5.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$425.00	$150.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	805	271	$174.22	$76.01
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	421	63	$907.00	$346.46
82570 Creatinine level to test for kidney function or muscle injury	289	110	$13.00	$4.94
81003 Automated urinalysis test	278	107	$6.00	$2.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	275	101	$328.00	$86.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	232	199	$339.66	$125.25
99231 Follow-up hospital inpatient care per day, typically 15 minutes	207	118	$92.80	$47.98
90935 Hemodialysis procedure with physician evaluation	102	63	$184.00	$68.64
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	74	37	$751.00	$289.45
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	65	48	$259.00	$114.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	52	47	$389.54	$166.78
99213 Established patient office or other outpatient visit, typically 15 minutes	34	30	$232.00	$74.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$425.00	$157.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	706	267	$174.00	$68.80
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	421	63	$907.00	$351.05
99231 Follow-up hospital inpatient care per day, typically 15 minutes	337	148	$89.34	$37.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	202	180	$339.46	$130.47
82570 Creatinine level to test for kidney function or muscle injury	186	74	$13.00	$5.07
81003 Automated urinalysis test	180	70	$6.00	$2.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	171	69	$328.00	$118.73
90935 Hemodialysis procedure with physician evaluation	100	64	$184.00	$70.87
90970 Dialysis services, per day, less than full month service (20 years or older)	94	11	$25.00	$9.31
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	87	37	$751.00	$288.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	73	59	$372.45	$192.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	40	30	$257.73	$99.21
99213 Established patient office or other outpatient visit, typically 15 minutes	29	26	$232.00	$84.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$425.00	$161.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	647	92	$828.43	$352.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	407	215	$175.39	$69.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	186	172	$343.95	$132.95
90935 Hemodialysis procedure with physician evaluation	153	84	$186.01	$71.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	138	65	$305.39	$118.22
99231 Follow-up hospital inpatient care per day, typically 15 minutes	129	64	$85.09	$37.62
82570 Creatinine level to test for kidney function or muscle injury	112	53	$13.15	$5.07
81003 Automated urinalysis test	108	52	$6.00	$2.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	83	70	$434.20	$196.14
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	78	44	$683.28	$291.33
90966 Home dialysis services per month, patient 20 years of age or older	47	13	$708.60	$299.76
99213 Established patient office or other outpatient visit, typically 15 minutes	32	26	$212.31	$87.96
90962 Dialysis services, 1 physician visit per month (20 years or older)	13	13	$488.15	$198.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$421.82	$163.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	1,000	122	$521.70	$281.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	627	287	$127.31	$71.55
90935 Hemodialysis procedure with physician evaluation	263	120	$126.61	$72.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	216	200	$238.80	$136.70
90970 Dialysis services, per day, less than full month service (20 years or older)	198	24	$16.64	$7.93
99231 Follow-up hospital inpatient care per day, typically 15 minutes	175	107	$69.95	$38.97
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	123	65	$414.07	$236.17
99442 Telephone medical discussion with physician, 11-20 minutes	61	45	$113.94	$71.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	44	$217.00	$100.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	40	$363.59	$201.40
81003 Automated urinalysis test	35	31	$5.40	$2.22
82570 Creatinine level to test for kidney function or muscle injury	35	31	$11.00	$5.12
99221 Initial hospital inpatient care per day, typically 30 minutes	31	27	$152.00	$101.36
99213 Established patient office or other outpatient visit, typically 15 minutes	28	21	$145.54	$72.10
90962 Dialysis services, 1 physician visit per month (20 years or older)	24	20	$313.67	$181.34
99443 Telephone medical discussion with physician, 21-30 minutes	20	19	$208.21	$104.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	920	128	$613.29	$276.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	291	141	$117.12	$71.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	199	178	$199.37	$133.68
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	186	94	$673.34	$231.53
90935 Hemodialysis procedure with physician evaluation	160	112	$171.63	$72.05
99231 Follow-up hospital inpatient care per day, typically 15 minutes	126	58	$74.87	$38.97
90970 Dialysis services, per day, less than full month service (20 years or older)	109	11	$13.38	$7.60
99221 Initial hospital inpatient care per day, typically 30 minutes	102	90	$156.96	$99.78
82570 Creatinine level to test for kidney function or muscle injury	49	28	$14.14	$5.52
81003 Automated urinalysis test	48	27	$9.92	$2.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	31	$226.61	$200.13
99213 Established patient office or other outpatient visit, typically 15 minutes	29	25	$99.41	$68.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	16	$148.44	$103.43
90962 Dialysis services, 1 physician visit per month (20 years or older)	24	18	$402.83	$178.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	910	138	$1300.00	$261.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	361	153	$122.19	$68.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	197	169	$185.43	$127.76
90970 Dialysis services, per day, less than full month service (20 years or older)	178	19	$38.37	$7.21
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	166	90	$1100.00	$219.26
90935 Hemodialysis procedure with physician evaluation	138	93	$400.00	$67.75
81003 Automated urinalysis test	66	43	$25.00	$2.63
99231 Follow-up hospital inpatient care per day, typically 15 minutes	66	43	$72.18	$36.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	66	66	$254.92	$190.53
82570 Creatinine level to test for kidney function or muscle injury	66	43	$30.00	$6.07
99213 Established patient office or other outpatient visit, typically 15 minutes	55	39	$85.00	$64.07
99221 Initial hospital inpatient care per day, typically 30 minutes	40	35	$175.00	$95.02
90962 Dialysis services, 1 physician visit per month (20 years or older)	22	18	$873.90	$169.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	11	$115.00	$97.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	879	137	$1300.00	$261.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	228	197	$185.00	$127.36
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	226	112	$1099.69	$217.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	179	119	$100.00	$66.96
90935 Hemodialysis procedure with physician evaluation	116	73	$400.00	$67.21
90970 Dialysis services, per day, less than full month service (20 years or older)	93	13	$36.90	$7.18
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	29	$70.00	$36.58
82570 Creatinine level to test for kidney function or muscle injury	37	30	$30.00	$6.77
81003 Automated urinalysis test	36	29	$25.00	$3.02
99213 Established patient office or other outpatient visit, typically 15 minutes	24	21	$85.00	$63.69
90962 Dialysis services, 1 physician visit per month (20 years or older)	20	16	$900.00	$168.10
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$175.00	$94.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$115.00	$72.85

Medical Specialties & State Licenses

CMS Verified: 2024-03-22

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License LA 024394

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1489131 (LA)

Hospital & Practice Group Affiliations

Louisiana Kidney Update Llc

4811 Ambassador Caffery Pkwy, Lafayette, LA 705087265

Phone: 3378399550

Acadiana Renal Physicians Amc

300 W Saint Mary Blvd, Lafayette, LA 705064638

Phone: 3372336593

Gulf Coast Nephrology, Llc

300 18th St, Lake Charles, LA 706017342

Phone: 3374970366

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Roderick Clark , MD

Internal Medicine - Nephrology

NPI 1225066939

Doctor of Medicine (M.D.)

Christine Boutte

Nurse Practitioner - Family

NPI 1285049759

Dr. Alfonso Lebron-Berges , MD

Internal Medicine - Nephrology

NPI 1821034778

Doctor of Medicine (M.D.)

Kristen Lasseigne , MSN, ACNPC-AG

Nurse Practitioner - Acute Care

NPI 1912468083

Master of Science in Nursing, ACNPCAG

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location July 24, 2024

Registered at 2804 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 705065906 (Tel: 3379815156)

📍

Updated Business Mailing Address July 24, 2024

Registered at 300 W SAINT MARY BLVD, LAFAYETTE, LA 705064638 (Tel: 3372336593)

✅

NPI Profile Active September 24, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location September 24, 2009

Registered at 1270 ATTAKAPAS DR, SUITE 103, OPELOUSAS, LA 705706549 (Tel: 3374071777)

📍

Updated Business Mailing Address September 24, 2009

Registered at 1270 ATTAKAPAS DR, STE. 103, OPELOUSAS, LA 705706549 (Tel: 3374071777)

👤

Provider Name / Credentials Updated September 24, 2009

Recorded as ANTHONY BLALOCK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2009

Internal Medicine (License #024394 in LA)

🟢

Initial NPI Registration & Enumeration August 05, 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: 1124037726

Entity Type:

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

Enumeration Date: August 05, 2006

Last Update: July 24, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

300 W Saint Mary Blvd

Lafayette, LA 705064638

Phone: 3372336593

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.