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DR. JOHN A BLANCHARD MD
NPI 1083613871
Family Medicine in Troy, MI

Active since July 14, 2005PECOS Enrolled
1627 W BIG BEAVER RD, TROY, MI 48084(248) 220-1560(248) 220-1563 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John A Blanchard Md NPPES

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

DR. JOHN A BLANCHARD MD (NPI 1083613871) is an individual family medicine provider in Troy, Michigan, licensed in Michigan (JB067853) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and is a graduate of Wayne State University School Of Medicine (1996).

NPPES Registry Identity

NPI1083613871
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHN A BLANCHARDCredential: MD
Location Address1627 W BIG BEAVER RDTroy, MI 48084-3501
Mailing Address6483 Citation Dr Ste BClarkston, MI 48346-2994 · (248) 861-0010 · Fax (248) 861-0020
Phone(248) 220-1560
Fax(248) 220-1563
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1996
Enumeration DateJuly 14, 2005
Last NPPES UpdateMay 25, 2022
NPPES CertifiedMay 25, 2022
✔ NPI 1083613871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · JB067853
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.
1627 W BIG BEAVER RD, Troy, MI 48084
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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. John A Blanchard 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 ID42209553
PECOS Enrollment IDI20090519000591
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.

Hospital Affiliations CMS Care Compare 2

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

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48084 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Other Providers at the Same Location NPPES 5

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

PREMIER PRIVATE PHYSICIANS, PLC
Family Medicine
1627 W BIG BEAVER RD
TROY, MI 48084
Oakland County (248) 220-1560
STACY GOLDBERG MPH, RN, BSN
Registered Nurse (Nutrition Support)
1627 W BIG BEAVER RD
TROY, MI 48084
Oakland County (248) 563-2920
SARAH E WILSON MD
Family Medicine
1627 W BIG BEAVER RD
TROY, MI 48084
Oakland County (248) 220-1560
DR. LORI A WASHE MD
Family Medicine
1627 W BIG BEAVER RD
TROY, MI 48084
Oakland County (248) 861-0010
DR. KEITH W CHRISTMON MD
Family Medicine
1627 W BIG BEAVER RD
TROY, MI 48084
Oakland County (248) 220-1560

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 Blanchard's NPI number?

The NPI number for John Blanchard is 1083613871. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is John Blanchard located?

John Blanchard practices at 1627 W Big Beaver Rd, Troy, MI 48084. The listed phone number is (248) 220-1560.

What is John Blanchard's specialty?

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

Is John Blanchard enrolled in Medicare?

Yes. John 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 John Blanchard accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list John 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 John Blanchard affiliated with any hospitals?

According to CMS data, John Blanchard is affiliated with Beaumont Hospital - Grosse Pointe and Beaumont Hospital Royal Oak.

When was this NPI record last updated?

The NPPES record for John Blanchard was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.