MICHAEL SCOTT BLAU PA-C
NPI 1093789414
Physician Assistant in Winston Salem, NC

Q: What is Michael Blau's NPI number?

The NPI number for Michael Blau is 1093789414. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Q: What is Michael Blau's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Blau was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 February 14, 2006PECOS Enrolled

190 KIMEL PARK DR STE 140, WINSTON SALEM, NC 27103(336) 277-2225(336) 277-2231 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 8, 2024, Jan 6, 2020 (2 updates tracked since 2020).

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About Michael Scott Blau Pa-c NPPES

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

MICHAEL SCOTT BLAU PA-C (NPI 1093789414) is an individual physician assistant in Winston Salem, North Carolina, licensed in North Carolina (103449) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in High Point.

NPPES Registry Identity

NPI1093789414

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMICHAEL SCOTT BLAUCredential: PA-C

Location Address190 KIMEL PARK DR STE 140Winston Salem, NC 27103-6946

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 277-2225 · Fax (336) 277-2231

Phone(336) 277-2225

Fax(336) 277-2231

Sole ProprietorNo

Enumeration DateFebruary 14, 2006

Last NPPES UpdateNovember 8, 20242 updates tracked since enumeration

NPPES CertifiedNovember 8, 2024

✔ NPI 1093789414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 103449

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

190 KIMEL PARK DR STE 140, Winston Salem, NC 27103

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Secondary Practice Location 1

Location 15826 Samet Dr Ste 103High Point, NC 27265-3661 · Phone (336) 905-6300 · Fax (336) 716-9258

Other Identifiers 1

Medicaid8102570NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Scott Blau Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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 8

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

MRS. KAREN WATTS SPENCER FNP-C

Nurse Practitioner