Active NPI 1104921212 Individual Practitioner Male Practitioner

Dr. Robert H Blanton , MD

Surgery • Bristol, TN

Professional Overview & Biography Verified Profile Summary

Dr. Robert Blanton, MD is a registered healthcare professional specializing in Surgery in Bristol, TN. Practice services are available at 1 MEDICAL PARK BLVD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Medical Park Blvd
250 West

Bristol, TN 376207430

Telephone 4238446620

Fax 4238446627

Associated Practice Facility / Clinic

🏢 Medical Mall Pharmacy Inc Facility NPI 1598768699

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Bristol, TN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 24.3 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

13 Specialists

Practicing in Bristol, TN (682 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

17.6% 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 (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	18	$75.00	$53.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$178.00	$152.18
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$98.00	$83.67

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	30	30	$178.00	$158.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	20	$75.00	$52.67
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$98.00	$78.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	31	27	$98.00	$71.52
99213 Established patient office or other outpatient visit, typically 15 minutes	28	15	$98.00	$49.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$178.00	$152.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$141.00	$102.32

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	47	47	$178.00	$152.66
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$98.00	$70.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$138.00	$103.00
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$1899.00	$303.01
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	14	$145.00	$16.96
49505 Repair of groin hernia (5 years or older)	12	12	$1751.17	$531.49

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	87	40	$119.00	$65.45
99213 Established patient office or other outpatient visit, typically 15 minutes	54	41	$98.00	$67.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	42	$288.00	$185.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	33	$75.00	$40.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$178.00	$153.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$141.00	$100.33
47562 Removal of gallbladder using an endoscope	15	15	$3262.00	$590.87
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$1899.00	$320.02
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$145.00	$17.85

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	75	48	$119.00	$68.57
99213 Established patient office or other outpatient visit, typically 15 minutes	48	37	$98.00	$68.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	38	$288.00	$192.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	21	$75.00	$40.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$178.00	$153.27

Medical Specialties & State Licenses

CMS Verified: 2021-09-27

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TN 24054

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

3074381 (TN)

Medicaid State Provider ID

7305940 (VA)

Commercial Insurance / Payer ID Aetna

5070152 (TN)

Commercial Insurance / Payer ID Mcrailroad/group #ca8128

020034237 (TN)

Commercial Insurance / Payer ID Black Lung Group

022276800 (TN)

Commercial Insurance / Payer ID Bcbs Of Tennessee

3036131 (TN)

Commercial Insurance / Payer ID Umwa Group

0636398 (TN)

Commercial Insurance / Payer ID Champus

F03906748 (TN)

Commercial Insurance / Payer ID Indiv Anthem/group#093410

241060 (TN)

Commercial Insurance / Payer ID John Deere Now United Hc

TN0106 (TN)

Practice Associates & Co-Workers

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

16 Associated Practitioners

Jake Sides

Surgery

NPI 1003279662

Kelly Cox , NP

Nurse Practitioner - Family

NPI 1023650934

Nurse Practitioner

Dr. Sidney Collins , MD

Surgery

NPI 1083624365

Doctor of Medicine (M.D.)

Dr. Glenn Birkitt , MD

Specialist

NPI 1366559684

Doctor of Medicine (M.D.)

Hannah Miller , PA-C

Physician Assistant

NPI 1407711310

Physician Assistant (Certified)

Dr. Michael Rowell , MD

Surgery

NPI 1477658656

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 05, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location March 05, 2008

Registered at 1 MEDICAL PARK BLVD, 250 WEST, BRISTOL, TN 376207430 (Tel: 4238446620)

📍

Updated Business Mailing Address March 05, 2008

Registered at 1 MEDICAL PARK BLVD, 250 WEST, BRISTOL, TN 376207430 (Tel: 4238446620)

👤

Provider Name / Credentials Updated March 05, 2008

Recorded as ROBERT BLANTON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2008

Surgery (License #24054 in TN)

🟢

Initial NPI Registration & Enumeration September 13, 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: 1104921212

Entity Type:

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

Enumeration Date: September 13, 2006

Last Update: September 27, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Medical Park Blvd, 250 West

Bristol, TN 376207430

Phone: 4238446620

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.