JOHN BLAMOUN MD
NPI 1053490177
Internal Medicine - Pulmonary Disease in Midland, MI

Q: What is John Blamoun's NPI number?

The NPI number for John Blamoun is 1053490177. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Q: What is John Blamoun's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for John Blamoun was last updated on November 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment

4201 CAMPUS RIDGE DRIVE, MIDLAND, MI 48640(989) 488-5450(989) 488-5455 Get Directions Write a Review

NPPES record last updated: November 2, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About John Blamoun Md NPPES

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

JOHN BLAMOUN MD (NPI 1053490177) is an individual pulmonary disease provider in Midland, Michigan, licensed in Michigan (4301093855) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Trinity Rock Island, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1053490177

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameJOHN BLAMOUNCredential: MD

Location Address4201 CAMPUS RIDGE DRIVEMidland, MI 48640

Mailing Address4201 Campus Ridge DriveMidland, MI 48640 · (989) 488-5450 · Fax (989) 488-5455

Phone(989) 488-5450

Fax(989) 488-5455

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateNovember 2, 2006

Last NPPES UpdateNovember 2, 2016

✔ NPI 1053490177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in MI · 4301093855

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 24MA08103100 (NJ)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 4301093855 (MI)

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 4301093855 (MI)

4201 CAMPUS RIDGE DRIVE, Midland, MI 48640

Open in Google Maps ↗

Other Identifiers 3

Medicare UPINI69634NJ

Medicare PINB56253011MI

Medicare PIN180062NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Blue Care Network of Michigan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John Blamoun 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 ID6406950872

PECOS Enrollment IDI20090629000087, I20120416000094, I20210413000111

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.

Medicare Billing Reassignments

Medicare enrollment records show John Blamoun reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mymichigan Medical Center Midland

0.1 mi

Multi-Specialty

4000 WELLNESS DR
Midland, MI 48670

Reassigned Medicare billing, Michigan enrollment
536 clinicians in this Medicare group

NPI 1205889490 (844) 832-1956

Mymichigan Medical Center Alma

23 mi

Family Medicine

224 N MILL ST
Saint Louis, MI 48880

Reassigned Medicare billing, Michigan enrollment
258 clinicians in this Medicare group

NPI 1255316832 (989) 681-3524

Mymichigan Medical Center Gladwin

26 mi

Emergency Medicine

515 QUARTER ST
Gladwin, MI 48624

Reassigned Medicare billing, Michigan enrollment
162 clinicians in this Medicare group

NPI 1073999298 (989) 426-9286

Mymichigan Medical Center Clare

28 mi

General Practice

703 N MCEWAN ST
Clare, MI 48617

Reassigned Medicare billing, Michigan enrollment
159 clinicians in this Medicare group

NPI 1134394026 (989) 802-5000

Mymichigan Medical Center Tawas

53 mi

Obstetrics & Gynecology

25 E M 55
Tawas City, MI 48763

Reassigned Medicare billing, Michigan enrollment
56 clinicians in this Medicare group

NPI 1235219965 (989) 362-2540

Trinity Medical Center

350 mi

Family Medicine

3540 E 46TH ST
Davenport, IA 52807

Reassigned Medicare billing, Iowa and Illinois enrollments
Also billed through NPI 1568414134 (Illinois)
138 clinicians in this Medicare group

NPI 1245209253 (563) 742-5900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 16

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

350 services168 patients

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.

229 services123 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

160 services85 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

113 services112 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

113 services112 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

97 services94 patients

Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation G0399

A Home Sleep Test (HST) with a Type III Portable Monitor is an unattended test that records your breathing, heart rate, and oxygen levels during sleep. This test uses a minimum of 4 channels to monitor these parameters, helping to diagnose sleep disorders.

76 services75 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

74 services45 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

73 services72 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

43 services30 patients

Aspiration of fluid from chest cavity using imaging guidance 32555

This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.

38 services34 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

26 services26 patients

Irrigation and suction of lung airways to obtain cells using an endoscope 31624

This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.

25 services25 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.

17 services16 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

14 services14 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

13 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Trinity Rock Island

Acute Care Hospitals · Rock Island, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140280

Location2701 17th StRock Island, IL 61201 · Rock Island County

Emergency services Birthing friendly

Trinity Muscatine

Acute Care Hospitals · Muscatine, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number160013

Location1518 Mulberry AvenueMuscatine, IA 52761 · Muscatine County

Emergency services

Genesis Medical Center-Davenport

Acute Care Hospitals · Davenport, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160033

Location1227 East Rusholme StreetDavenport, IA 52803 · Scott County

Emergency services Birthing friendly

Trinity - Bettendorf

Acute Care Hospitals · Bettendorf, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160104

Location4500 Utica Ridge RoadBettendorf, IA 52722 · Scott County

Emergency services Birthing friendly

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230222

Location4000 Wellness DriveMidland, MI 48670 · Midland County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48640 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $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.

Referred Medical Equipment & Supplies CMS DME claims 18

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

7 suppliers18 claims18 services$42.10 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

7 suppliers29 claims29 services$103.81 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

9 suppliers29 claims73 services$40.00 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

8 suppliers12 claims12 services$55.92 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

10 suppliers30 claims30 services$18.99 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

7 suppliers25 claims25 services$16.53 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

11 suppliers49 claims233 services$2.47 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

7 suppliers13 claims13 services$13.14 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers51 claims51 services$17.51 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$915.01 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers20 claims20 services$4.24 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

6 suppliers82 claims83 services$42.40 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

9 suppliers139 claims139 services$93.20 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

3 suppliers53 claims53 services$34.30 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

1 supplier13 claims780 services$6.56 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

4 suppliers12 claims1,140 services$0.09 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

3 suppliers23 claims23 services$34.32 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

4 suppliers21 claims21 services$23.56 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.

DR. SUBRAMANYAM YADAM M.D.

Internal Medicine (Pulmonary Disease)

4201 CAMPUS RIDGE DRIVE
MIDLAND, MI 48640

Midland County (989) 488-5450

ENRIQUE CRIADO-PALLARES MD

Surgery (Vascular Surgery)

4201 CAMPUS RIDGE DRIVE
MIDLAND, MI 48640

Midland County (989) 794-5240

MR. JOHN WILLIAM LEROUX PA

Physician Assistant

4201 CAMPUS RIDGE DRIVE
MIDLAND, MI 48640

Midland County (989) 839-1795

AKINTAYO RAZAQ SOKUNBI MD

Internal Medicine (Pulmonary Disease)

4201 CAMPUS RIDGE DRIVE
MIDLAND, MI 48640

Midland County (989) 488-5450

MRS. ABBOTT MAYTON SMITH PA-C

Physician Assistant (Medical)

4201 CAMPUS RIDGE DRIVE
MIDLAND, MI 48640

Midland County (989) 488-5450

SHANE DOUGLAS MARTIN DO

Surgery

4201 CAMPUS RIDGE DRIVE
MIDLAND, MI 48640

Midland County (989) 839-1795

OPESANMI O ESAN MD

Internal Medicine (Clinical Cardiac Electrophysiology)

4201 CAMPUS RIDGE DRIVE
MIDLAND, MI 48640

Midland County (989) 488-5470

ERIK KUHL PA

Physician Assistant

4201 CAMPUS RIDGE DRIVE
MIDLAND, MI 48640

Midland County (989) 488-5450

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 John Blamoun's NPI number?

The NPI number for John Blamoun is 1053490177. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is John Blamoun located?

John Blamoun practices at 4201 Campus Ridge Drive, Midland, MI 48640. The listed phone number is (989) 488-5450.

What is John Blamoun's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is John Blamoun enrolled in Medicare?

Yes. John Blamoun 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.

Which organizations bill Medicare for John Blamoun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Blamoun reassigns Medicare benefits to 6 organizations: Mymichigan Medical Center Midland (Midland, MI), Mymichigan Medical Center Alma (Saint Louis, MI), Mymichigan Medical Center Gladwin (Gladwin, MI), Mymichigan Medical Center Clare (Clare, MI), Mymichigan Medical Center Tawas (Tawas City, MI) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Blamoun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Blamoun accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Oscar Insurance Company and 2 other insurers list John Blamoun 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 John Blamoun affiliated with any hospitals?

According to CMS data, John Blamoun is affiliated with Trinity Rock Island, Trinity Muscatine, Genesis Medical Center-Davenport, Trinity - Bettendorf and Mymichigan Medical Center Midland.

When was this NPI record last updated?

The NPPES record for John Blamoun was last updated on November 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.