DR. ROBERT MARSDEN BLANCH M.D.
NPI 1124059738
Radiology - Diagnostic Radiology in Denison, TX

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
93.65/100
CMS Quality Rating
5016 US HWY 75, DENISON, TX 75020(817) 321-0404 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 28, 2021, Aug 16, 2021 (2 updates tracked since 2021).

About Dr. Robert Marsden Blanch M.d. NPPES

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

DR. ROBERT MARSDEN BLANCH M.D. (NPI 1124059738) is an individual diagnostic radiology provider in Denison, Texas, licensed in Texas (N9516) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Alliancehealth Durant, and is a graduate of University Of Utah School Of Medicine (2004).

NPPES Registry Identity

NPI1124059738
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. ROBERT MARSDEN BLANCHCredential: M.D.
Location Address5016 US HWY 75Denison, TX 75020-4584
Mailing Address816 W Cannon StFort Worth, TX 76104 · (817) 321-0404
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2004
Enumeration DateJuly 5, 2006
Last NPPES UpdateSeptember 28, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2021
✔ NPI 1124059738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in TX · N9516
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
5016 US HWY 75, Denison, TX 75020

Accepted 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

Dr. Robert Marsden Blanch 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 ID3779753272
PECOS Enrollment IDI20110818000667, I20120716000554
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 Reassignments

3

Medicare enrollment records show Robert Blanch reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
7800 PRESTON ROAD, SUITE 300
Plano, TX 75024
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group
Diagnostic Radiology
1320 S UNIVERSITY DR
Fort Worth, TX 76107
  • Reassigned Medicare billing, Texas and Oklahoma enrollments
  • Also billed through NPI 1710970975 (Oklahoma)
  • 445 clinicians in this Medicare group
Diagnostic Radiology
3310 RICHMOND AVE
Houston, TX 77098
  • Reassigned Medicare billing, Texas enrollment
  • 68 clinicians in this Medicare group

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 75

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
1,399 services1,136 patients
3d radiographic procedure 76376
A 3D radiographic procedure is a non-invasive imaging test that helps doctors visualize the internal structures of your body in three dimensions. This advanced technology provides detailed images, aiding in accurate diagnosis and treatment planning. It involves exposure to minimal radiation.
1,351 services1,219 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
532 services495 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
348 services335 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
311 services302 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
202 services200 patients

Hospital Affiliations CMS Care Compare 5

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

Alliancehealth Durant

Acute Care Hospitals · Durant, OK
1/5 CMS rating
OwnershipProprietary
CMS Certification Number370014
Location1800 University BoulevardDurant, OK 74702 · Bryan County
Emergency services Birthing friendly

Choctaw Nation Health Services Authority

Acute Care Hospitals · Talihina, OK
OwnershipTribal
CMS Certification Number370172
Location1 Choctaw WayTalihina, OK 74571 · Latimer County
Emergency services Birthing friendly

Texoma Medical Center

Acute Care Hospitals · Denison, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450324
Location5016 S Us Highway 75Denison, TX 75020 · Grayson County
Emergency services Birthing friendly

Wilson N Jones Regional Medical Center

Acute Care Hospitals · Sherman, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450469
Location500 N Highland AvenueSherman, TX 75091 · Grayson County
Emergency services Birthing friendly

Baylor Scott And White Surgical Hospital At Sherma

Acute Care Hospitals · Sherman, TX
2/5 CMS rating
OwnershipPhysician
CMS Certification Number670076
Location3601 Calais DriveSherman, TX 75090 · Grayson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75020 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

93.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.53
Improvement Activities40

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
68%2,187 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%187 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
77%255 patients
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 20

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

Radiology (Vascular & Interventional Radiology)
5016 US HWY 75
DENISON, TX 75020
Internal Medicine
5016 US HWY 75
DENISON, TX 75020
Nurse Practitioner (Family)
5016 US HWY 75
DENISON, TX 75020
Nurse Anesthetist, Certified Registered
5016 US HWY 75
DENISON, TX 75020
Nurse Anesthetist, Certified Registered
5016 US HWY 75
DENISON, TX 75020
Registered Nurse
5016 US HWY 75
DENISON, TX 75020
Internal Medicine (Pulmonary Disease)
5016 US HWY 75
DENISON, TX 75020
Physician Assistant
5016 US HWY 75
DENISON, TX 75020

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 Robert Blanch's NPI number?

The NPI number for Robert Blanch is 1124059738. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Robert Blanch located?

Robert Blanch practices at 5016 Us Hwy 75, Denison, TX 75020. The listed phone number is (817) 321-0404.

What is Robert Blanch's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Robert Blanch enrolled in Medicare?

Yes. Robert Blanch 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 organizations bill Medicare for Robert Blanch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Blanch reassigns Medicare benefits to 3 organizations: University Of Texas Southwestern Medical Center At Dallas (Plano, TX), Radiology Associates Of North Texas, PA (Fort Worth, TX) and Innovative Radiology PA (Houston, TX). Each 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 Robert Blanch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Blanch accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare and UnitedHealthcare list Robert Blanch 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 Robert Blanch affiliated with any hospitals?

According to CMS data, Robert Blanch is affiliated with Alliancehealth Durant, Choctaw Nation Health Services Authority, Texoma Medical Center, Wilson N Jones Regional Medical Center and Baylor Scott And White Surgical Hospital At Sherma.

When was this NPI record last updated?

The NPPES record for Robert Blanch was last updated on September 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.