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

Active since July 14, 2005Opted out of Medicare · through Jul 1, 2028
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: October 18, 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 has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

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
Fax(248) 220-1563
Sole ProprietorNo
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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. John A Blanchard Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2004 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2004
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 7

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

Family Medicine
1627 W BIG BEAVER RD
TROY, MI 48084
Registered Nurse (Nutrition Support)
1627 W BIG BEAVER RD
TROY, MI 48084
Family Medicine
1627 W BIG BEAVER RD
TROY, MI 48084
Family Medicine
1627 W BIG BEAVER RD
TROY, MI 48084
Family Medicine
1627 W BIG BEAVER RD
TROY, MI 48084
Family Medicine
1627 W BIG BEAVER RD
TROY, MI 48084
Family Medicine
1627 W BIG BEAVER RD
TROY, MI 48084

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?

No. John Blanchard has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does John Blanchard accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer 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.

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.