Active NPI 1659340131 Individual Practitioner Male Practitioner

Dr. Paul L Blanchard , MD

Internal Medicine • Mason, OH

Professional Overview & Biography Verified Profile Summary

Dr. Paul Blanchard, MD is a registered healthcare professional specializing in Internal Medicine in Mason, OH. Practice services are available at 4605 DUKE DR STE 220 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, initial nursing facility visit, subsequent nursing facility care with moderate 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

4605 Duke Dr Ste 220

Mason, OH 450401553

Telephone 5135104406

Associated Practice Facility / Clinic

🏢 Queen City Hospice, Llc Facility NPI 1437432929

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Mason, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 22.1 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

24 Specialists

Practicing in Mason, OH (5516 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

85.9% 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 (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	24	21	$361.76	$51.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$557.71	$78.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	100	70	$361.76	$50.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	51	$557.71	$77.22

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	140	80	$557.71	$76.98
99213 Established patient office or other outpatient visit, typically 15 minutes	104	64	$361.76	$49.86
99306 Initial nursing facility visit, typically 45 minutes per day	83	72	$1183.25	$162.91
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	80	23	$648.15	$89.13
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	59	30	$648.15	$89.07

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	249	107	$554.73	$74.07
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	168	50	$645.01	$85.34
99306 Initial nursing facility visit, typically 45 minutes per day	82	71	$1176.59	$156.33
99213 Established patient office or other outpatient visit, typically 15 minutes	67	43	$361.04	$48.05
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	57	33	$646.10	$85.28
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	31	18	$959.29	$127.05
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	26	12	$958.81	$127.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	12	$785.92	$105.05

Medical Specialties & State Licenses

CMS Verified: 2024-07-08

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35079460

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

2419369 (OH)

Secondary Practice Locations

7601 Paragon Rd Ste 203

Dayton, OH 454594082

Phone: 9374045490

2800 Corporate Exchange Dr Ste 170

Columbus, OH 432317628

Phone: 6144419300

Practice Associates & Co-Workers

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

3 Associated Practitioners

Jodi Yee , FNP-BC

Nurse Practitioner - Family

NPI 1053780221

Family Nurse Practitioner (Board Certified)

Danielle Abney

Nurse Practitioner - Family

NPI 1134730781

Marie Gregory , FNP

Nurse Practitioner - Family

NPI 1326694274

Family Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location July 08, 2024

Registered at 4605 DUKE DR STE 220, MASON, OH 450401553 (Tel: 5135104406)

📍

Updated Business Mailing Address July 08, 2024

Registered at 4605 DUKE DR STE 220, MASON, OH 450401553 (Tel: 5135104406)

✅

NPI Profile Active January 14, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location January 14, 2008

Registered at 7665 MONARCH CT, SUITE 101, WEST CHESTER, OH 450692497 (Tel: 5137778300)

📍

Updated Business Mailing Address January 14, 2008

Registered at 7665 MONARCH CT, SUITE 101, WEST CHESTER, OH 450692497 (Tel: 5137778300)

👤

Provider Name / Credentials Updated January 14, 2008

Recorded as PAUL BLANCHARD, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2008

Internal Medicine (License #35079460 in OH)

🟢

Initial NPI Registration & Enumeration March 16, 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: 1659340131

Entity Type:

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

Enumeration Date: March 16, 2006

Last Update: July 08, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4605 Duke Dr Ste 220

Mason, OH 450401553

Phone: 5135104406

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.