DR. ARIEL BLANCHARD DMD
NPI 1124434659
Dentist - Oral and Maxillofacial Pathology in New York, NY

Active since July 03, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1275 YORK AVE, DENTAL DEPARTMENT, NEW YORK, NY 10065(212) 639-7644 Get Directions Write a Review

NPPES record last updated: May 3, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Ariel Blanchard Dmd NPPES

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

DR. ARIEL BLANCHARD DMD (NPI 1124434659) is an individual oral and maxillofacial pathology provider in New York, New York, licensed in New York (057262) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1124434659
Entity TypeIndividualFemale
Primary Taxonomy1223P0106X
Provider Legal NameDR. ARIEL BLANCHARDCredential: DMD
Location Address1275 YORK AVE, DENTAL DEPARTMENTNew York, NY 10065-6007
Mailing Address370 Columbus Ave, Apt 3aNew York, NY 10024-5110
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 3, 2014
Last NPPES UpdateMay 3, 2020
NPPES CertifiedMay 3, 2020
NPI 1124434659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License Licensed in NY · 057262
Definition

The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.

Also ListedDentistTaxonomy 122300000X · License 05 057262 (NY)
1275 YORK AVE, New York, NY 10065

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. Ariel Blanchard Dmd 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 ID8224388442
PECOS Enrollment IDI20200824001821
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 6

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.

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.
73 services47 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
50 services50 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
45 services33 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.
26 services26 patients
X-ray of lower jaws, upper jaws and teeth 70355
An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.
21 services20 patients
Biopsy of mouth 40808
A biopsy of the mouth is a procedure where a small sample of tissue is taken from your mouth. This is done to examine the tissue under a microscope and check for any abnormal cells or diseases. The procedure is usually quick and may involve local anesthesia for comfort.
17 services16 patients

Hospital Affiliations CMS Care Compare 2

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Hospital For Special Surgery

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330270
Location535 East 70th StreetNew York, NY 10021 · New York County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

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.

Urology
1275 YORK AVE
NEW YORK, NY 10065
Anesthesiology
1275 YORK AVE, RM M301
NEW YORK, NY 10065
Radiology (Diagnostic Radiology)
1275 YORK AVE
NEW YORK, NY 10065
Pathology (Anatomic Pathology & Clinical Pathology)
1275 YORK AVE
NEW YORK, NY 10065
Radiology (Radiation Oncology)
1275 YORK AVE
NEW YORK, NY 10065
Internal Medicine (Infectious Disease)
1275 YORK AVE
NEW YORK, NY 10065
Internal Medicine
1275 YORK AVE
NEW YORK, NY 10065
Internal Medicine (Pulmonary Disease)
1275 YORK AVE
NEW YORK, NY 10065

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 Ariel Blanchard's NPI number?

The NPI number for Ariel Blanchard is 1124434659. It was assigned to this individual provider in the NPPES registry on July 3, 2014.

Where is Ariel Blanchard located?

Ariel Blanchard practices at 1275 York Ave Dental Department, New York, NY 10065. The listed phone number is (212) 639-7644.

What is Ariel Blanchard's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Ariel Blanchard enrolled in Medicare?

Yes. Ariel 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.

Is Ariel Blanchard affiliated with any hospitals?

According to CMS data, Ariel Blanchard is affiliated with New York-Presbyterian Hospital and Hospital For Special Surgery.

When was this NPI record last updated?

The NPPES record for Ariel Blanchard was last updated on May 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.