DR. MARIA SUSAN BLAHEY MD
NPI 1053304725
Family Medicine in Beaumont, TX

Active since August 26, 2005PECOS EnrolledAccepts Medicare Assignment
755 N 11TH ST, SUITE P-5200, BEAUMONT, TX 77702(409) 898-2994(409) 899-5542 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Maria Susan Blahey Md NPPES

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

DR. MARIA SUSAN BLAHEY MD (NPI 1053304725) is an individual family medicine provider in Beaumont, Texas, licensed in Texas (G1816) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Christus Southeast Texas- St Elizabeth, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1053304725
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARIA SUSAN BLAHEYCredential: MD
Location Address755 N 11TH ST, SUITE P-5200Beaumont, TX 77702-1501
Mailing Address755 N 11th St, Suite P-5200Beaumont, TX 77702-1501 · (409) 898-2994 · Fax (409) 899-5542
Fax(409) 899-5542
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateAugust 26, 2005
Last NPPES UpdateMarch 7, 2023
NPI 1053304725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · G1816
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

755 N 11TH ST, Beaumont, TX 77702

Other Identifiers 4

OtherY0048390TX · State Dps License
OtherG1816TX · State License
Medicaid156968301TX
OtherTAX IDTX · 741903407

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

Dr. Maria Susan Blahey Md 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 ID7012010762
PECOS Enrollment IDI20070316000415
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 24

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
298 services111 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
201 services115 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
182 services111 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
116 services25 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
103 services102 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
96 services96 patients

Hospital Affiliations CMS Care Compare 2

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

Christus Southeast Texas- St Elizabeth

Acute Care Hospitals · Beaumont, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450034
Location2830 Calder AvenueBeaumont, TX 77702 · Jefferson County
Emergency services Birthing friendly

Baptist Beaumont Hospital

Acute Care Hospitals · Beaumont, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450346
Location3080 College StreetBeaumont, TX 77701 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77702 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
$83.80 typical visit price
range $54.04 – $164.93
Typical copayment $20.95 (range $13.51 – $41.23)
Most-billed visit code 99203
Established Patient
$95.83 typical visit price
range $17.17 – $134.47
Typical copayment $23.95 (range $4.29 – $33.61)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%141 patients5/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
99%94 patients4/55-star benchmark: 100%
Elder Maltreatment Screen and Follow-Up Plan
Percentage of patients aged 65 years and older with a documented elder maltreatment screen using an Elder Maltreatment Screening Tool on the date of encounter AND a documented follow-up plan on the date of the positive screen
100%124 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%147 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
99%136 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%137 patients5/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
100%90 patients5/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
100%105 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers15 claims24 services$6.65 avg. paid by Medicare
Collagen based wound filler, dry form, sterile, per gram of collagen A6010
DME-Medical/Surgical Supplies · category DA023N
1 supplier16 claims564 services$30.18 avg. paid by Medicare
Hydrocolloid dressing, wound filler, paste, sterile, per ounce A6240
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims66 services$11.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Nurse Anesthetist, Certified Registered
755 N 11TH ST, SUITE P3600
BEAUMONT, TX 77702
Internal Medicine
755 N 11TH ST, SUITE P-5200
BEAUMONT, TX 77702
Anesthesiology
755 N 11TH ST, SUITE P3600
BEAUMONT, TX 77702
Nurse Anesthetist, Certified Registered
755 N 11TH ST, SUITE P3600
BEAUMONT, TX 77702
Anesthesiology
755 N 11TH ST, SUITE P3600
BEAUMONT, TX 77702
Nurse Anesthetist, Certified Registered
755 N 11TH ST, SUITE P3600
BEAUMONT, TX 77702
Nurse Practitioner (Family)
755 N 11TH ST, STE. P2200
BEAUMONT, TX 77702
Nurse Anesthetist, Certified Registered
755 N 11TH ST, SUITE P3600
BEAUMONT, TX 77702

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 Maria Blahey's NPI number?

The NPI number for Maria Blahey is 1053304725. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Where is Maria Blahey located?

Maria Blahey practices at 755 N 11th St Suite P-5200, Beaumont, TX 77702. The listed phone number is (409) 898-2994.

What is Maria Blahey's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Maria Blahey enrolled in Medicare?

Yes. Maria Blahey 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 Maria Blahey accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Community Health Choice list Maria Blahey 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 Maria Blahey affiliated with any hospitals?

According to CMS data, Maria Blahey is affiliated with Christus Southeast Texas- St Elizabeth and Baptist Beaumont Hospital.

When was this NPI record last updated?

The NPPES record for Maria Blahey was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.