SCOTT JEFFREY BLANCHARD CNP
NPI 1043711856
Nurse Practitioner - Family in Delaware, OH

Active since February 27, 2018PECOS EnrolledAccepts Medicare Assignment
80.66/100
CMS Quality Rating
1871 W WILLIAM ST, DELAWARE, OH 43015(740) 363-4373 Get Directions Write a Review

NPPES record last updated: February 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Scott Jeffrey Blanchard Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT JEFFREY BLANCHARD CNP (NPI 1043711856) is an individual family provider in Delaware, Ohio, licensed in Ohio (APRN.CNP.022095) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1043711856
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSCOTT JEFFREY BLANCHARDCredential: CNP
Location Address1871 W WILLIAM STDelaware, OH 43015-2255
Mailing Address6950 Greenspire DrLewis Center, OH 43035-7369 · (419) 308-5743
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 27, 2018
NPI 1043711856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · APRN.CNP.022095
1871 W WILLIAM ST, Delaware, OH 43015

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Scott Jeffrey Blanchard Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224381009
PECOS Enrollment IDI20181024001601
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
367 services119 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
123 services73 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
79 services63 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
66 services51 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
32 services32 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
20 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grady Memorial Hospital

Acute Care Hospitals · Delaware, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360210
Location561 West Central AvenueDelaware, OH 43015 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.45
Improvement Activities40
Cost70.92

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1871 W WILLIAM ST
DELAWARE, OH 43015
Podiatrist
1871 W WILLIAM ST
DELAWARE, OH 43015
Podiatrist (Foot & Ankle Surgery)
1871 W WILLIAM ST
DELAWARE, OH 43015
Podiatrist
1871 W WILLIAM ST
DELAWARE, OH 43015
Podiatrist (Foot & Ankle Surgery)
1871 W WILLIAM ST
DELAWARE, OH 43015
Podiatrist
1871 W WILLIAM ST
DELAWARE, OH 43015

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Blanchard's NPI number?

The NPI number for Scott Blanchard is 1043711856. It was assigned to this individual provider in the NPPES registry on February 27, 2018.

Where is Scott Blanchard located?

Scott Blanchard practices at 1871 W William St, Delaware, OH 43015. The listed phone number is (740) 363-4373.

What is Scott Blanchard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Scott Blanchard enrolled in Medicare?

Yes. Scott Blanchard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Scott Blanchard accept?

Health plans from CareSource and MedMutual list Scott Blanchard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Scott Blanchard affiliated with any hospitals?

According to CMS data, Scott Blanchard is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Scott Blanchard was last updated on February 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.