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DR. MICHAEL ALAN BLAIR M.D.
NPI 1104949841
Ophthalmology in Arlington, TX

Active since April 09, 2007PECOS EnrolledAccepts Medicare Assignment
98.11/100
CMS Quality Rating
801 W RANDOL MILL RD STE 201, ARLINGTON, TX 76012(817) 277-6433(817) 277-9086 Get Directions Write a Review

NPPES record last updated: May 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael Alan Blair M.d. NPPES

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

DR. MICHAEL ALAN BLAIR M.D. (NPI 1104949841) is an individual ophthalmology provider in Arlington, Texas, licensed in Texas (P5158) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mansfield, and is a graduate of University Of Missouri, Columbia School Of Medicine (2006).

NPPES Registry Identity

NPI1104949841
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. MICHAEL ALAN BLAIRCredential: M.D.
Location Address801 W RANDOL MILL RD STE 201Arlington, TX 76012-2505
Mailing Address801 W Randol Mill Rd, Suite 201Arlington, TX 76012-2505 · (817) 277-6433
Phone(817) 277-6433
Fax(817) 277-9086
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2006
Enumeration DateApril 9, 2007
Last NPPES UpdateMay 4, 2020
NPPES CertifiedMay 4, 2020
✔ NPI 1104949841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in TX · P5158✔ Licensed in NE · 24539
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
801 W RANDOL MILL RD STE 201, Arlington, TX 76012
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Secondary Practice Location 1

Location 12925 E Broad StMansfield, TX 76063-9184 · Phone (817) 477-0223 · Fax (817) 277-9086

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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. Michael Alan Blair M.d. 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 ID4789829185
PECOS Enrollment IDI20130405000073
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.

Areas of Expertise CMS Part B claims 9

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.

Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
370 services216 patients
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.
324 services174 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.
142 services142 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.
100 services98 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
63 services45 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.
41 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76012 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost93.72

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
92%90 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

DR. JAMES NOEL BAKER O.D.
Optometrist
801 W RANDOL MILL RD STE 201
ARLINGTON, TX 76012
Tarrant County (817) 277-6433
DR. D TODD FORD M.D.
Ophthalmology
801 W RANDOL MILL RD STE 201
ARLINGTON, TX 76012
Tarrant County (817) 277-6433
D. TODD FORD, MD PA
Specialist
801 W RANDOL MILL RD STE 201
ARLINGTON, TX 76012
Tarrant County (817) 277-6433
DR. MARK P WELDING O.D.
Optometrist
801 W RANDOL MILL RD STE 201
ARLINGTON, TX 76012
Tarrant County (817) 277-6433

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 Michael Blair's NPI number?

The NPI number for Michael Blair is 1104949841. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Michael Blair located?

Michael Blair practices at 801 W Randol Mill Rd Ste 201, Arlington, TX 76012. The listed phone number is (817) 277-6433.

What is Michael Blair's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Michael Blair enrolled in Medicare?

Yes. Michael Blair 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 Michael Blair accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Michael Blair 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 Michael Blair was last updated on May 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.