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JAMIE L BLAVAT OD
NPI 1073034609
Optometrist in Columbus, WI

Active since July 05, 2017PECOS EnrolledAccepts Medicare Assignment
1513 PARK AVE FL 1, COLUMBUS, WI 53925(920) 623-2431(920) 623-3656 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 28, 2022, Dec 16, 2020, Aug 12, 2020 and 1 more (4 updates tracked since 2017).

About Jamie L Blavat Od NPPES

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

JAMIE L BLAVAT OD (NPI 1073034609) is an individual optometrist in Columbus, Wisconsin, licensed in Wisconsin (3475-35) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Columbus, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1073034609
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJAMIE L BLAVATCredential: OD
Location Address1513 PARK AVE FL 1Columbus, WI 53925-1793
Mailing Address1808 W Beltline HwyMadison, WI 53713-2334 · (608) 250-1497 · Fax (608) 250-1384
Phone(920) 623-2431
Fax(920) 623-3656
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 5, 2017
Last NPPES UpdateNovember 28, 20224 updates tracked since enumeration
NPPES CertifiedNovember 28, 2022
✔ NPI 1073034609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WI · 3475-35
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1513 PARK AVE FL 1, Columbus, WI 53925
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Secondary Practice Location 1

Location 11341 Park AveColumbus, WI 53925-1614 · Phone (920) 623-2431 · Fax (920) 623-3656

Other Identifiers 1

Medicaid1073034609WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Providence Health Plan.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

Jamie L Blavat Od 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 ID6406126234
PECOS Enrollment IDI20170726003217
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 Reassignment

Medicare enrollment records show Jamie Blavat reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dean Health Systems, Inc
26 mi
Allergy & Immunology
1211 FISH HATCHERY RD
Madison, WI 53715
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,377 clinicians in this Medicare group
NPI 1053358846 (608) 252-8000

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 10

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 cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
4,323 services34 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
275 services275 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
163 services147 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
151 services126 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.
144 services107 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
114 services103 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53925 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

JUSTINNE CERTEZA D.O.
Family Medicine
1513 PARK AVE FL 1
COLUMBUS, WI 53925
Columbia County (920) 623-9611
TINA MARIE HAASE APNP
Nurse Practitioner
1513 PARK AVE FL 1
COLUMBUS, WI 53925
Columbia County (920) 623-9611

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 Jamie Blavat's NPI number?

The NPI number for Jamie Blavat is 1073034609. It was assigned to this individual provider in the NPPES registry on July 5, 2017.

Where is Jamie Blavat located?

Jamie Blavat practices at 1513 Park Ave Fl 1, Columbus, WI 53925. The listed phone number is (920) 623-2431.

What is Jamie Blavat's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jamie Blavat enrolled in Medicare?

Yes. Jamie Blavat 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 organization bills Medicare for Jamie Blavat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jamie Blavat reassigns Medicare benefits to Dean Health Systems, Inc (Madison, WI). The 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 Jamie Blavat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jamie Blavat accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan and Providence Health Plan list Jamie Blavat 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.

When was this NPI record last updated?

The NPPES record for Jamie Blavat was last updated on November 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.