DR. JESSICA LYNN BLYDENBURGH D.O.
NPI 1144548918
Family Medicine in Port Jefferson, NY

Q: What is Jessica Blydenburgh's NPI number?

The NPI number for Jessica Blydenburgh is 1144548918. It was assigned to this individual provider in the NPPES registry on May 4, 2010.

Q: What is Jessica Blydenburgh's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 04, 2010PECOS EnrolledAccepts Medicare Assignment

91.25/100

CMS Quality Rating

125 OAKLAND AVE, PORT JEFFERSON, NY 11777(631) 736-1311(631) 736-1312 Get Directions Write a Review

NPPES record last updated: August 14, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jessica Lynn Blydenburgh D.o. NPPES

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

DR. JESSICA LYNN BLYDENBURGH D.O. (NPI 1144548918) is an individual family medicine provider in Port Jefferson, New York, licensed in New York (270049) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1144548918

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JESSICA LYNN BLYDENBURGHCredential: D.O.

Location Address125 OAKLAND AVEPort Jefferson, NY 11777-2130

Mailing Address211 Cassa LoopHoltsville, NY 11742-2610 · (631) 786-4360

Phone(631) 736-1311

Fax(631) 736-1312

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMay 4, 2010

Last NPPES UpdateAugust 14, 2013

✔ NPI 1144548918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 270049

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.

125 OAKLAND AVE, Port Jefferson, NY 11777

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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. Jessica Lynn Blydenburgh D.o. 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 ID2961631403

PECOS Enrollment IDI20140204000799

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 15

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.

1,107 services539 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

176 services167 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

167 services158 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

87 services76 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.

48 services42 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

47 services47 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

37 services37 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

35 services35 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

32 services32 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

23 services19 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

21 services20 patients

Pneumococcal vaccine, 23-valent 90732

The 23-valent pneumococcal vaccine is an injection that helps protect against serious infections caused by 23 types of pneumococcal bacteria. It's vital for those at risk, like older adults or people with certain health conditions, to prevent pneumonia, meningitis, and bloodstream infections.

16 services16 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.

16 services16 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

15 services14 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330106

Location300 Community DriveManhasset, NY 11030 · Nassau County

Emergency services Birthing friendly

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330185

Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County

Emergency services

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number330393

LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11777 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

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.

91.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

74.92

Promoting Interoperability

91.67

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

59%625 patients3/55-star benchmark: 93%

Cervical Cancer Screening

81%645 patients4/55-star benchmark: 98%

Chlamydia Screening for Women

9%68 patients

Closing the Referral Loop: Receipt of Specialist Report

31%556 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

79%1,048 patients4/55-star benchmark: 88%

Controlling High Blood Pressure

93%737 patients5/55-star benchmark: 91%

Diabetes: Eye Exam

24%211 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

20%211 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

100%3,463 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

73%769 patients3/55-star benchmark: 100%

HIV Screening

16%1,036 patients2/55-star benchmark: 60%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

98%1,388 patients5/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

20%1,506 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 98% · 1,540 patients

Patients screened: 100% · 1,540 patients

59%74 patients3/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 760 patients

Patients totalRate: 8% · 809 patients

8%809 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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

17 suppliers37 claims98 services$6.21 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers15 claims23 services$1.09 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$42.60 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers34 claims34 services$65.84 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

3 suppliers34 claims34 services$35.03 avg. paid by Medicare

Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds K0827

DME-Wheelchairs · category DD009N

1 supplier12 claims12 services$212.92 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 12

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

DR. ANZHELIKA VACCARO MD

Ophthalmology

125 OAKLAND AVE, SUITE 101
PORT JEFFERSON, NY 11777

Suffolk County (631) 828-7100

FAMILY MEDICAL WELLNESS PC

Family Medicine

125 OAKLAND AVE, STE 203
PORT JEFFERSON, NY 11777

Suffolk County (631) 928-9326

PAUL FRITZ MD

Psychiatry & Neurology (Psychiatry)

125 OAKLAND AVE, SUITE 303
PORT JEFFERSON, NY 11777

Suffolk County (631) 928-3122

JULIET A NICOLESCU-NICHOLS MD

Psychiatry & Neurology (Psychiatry)

125 OAKLAND AVE, SUITE 303
PORT JEFFERSON, NY 11777

Suffolk County (631) 928-3122

MATHER PRIMARY CARE, PLLC

Family Medicine

125 OAKLAND AVE, SUITE 205
PORT JEFFERSON, NY 11777

Suffolk County (631) 686-2523

ANNA MCKAY LCSW

Social Worker (Clinical)

125 OAKLAND AVE
PORT JEFFERSON, NY 11777

Suffolk County (631) 729-2140

SYED K HUSSAINI M.D

Psychiatry & Neurology (Psychiatry)

125 OAKLAND AVE, SUITE 303
PORT JEFFERSON, NY 11777

Suffolk County (631) 928-3122

JENNA L TAGLIENTI MD

Psychiatry & Neurology (Psychiatry)

125 OAKLAND AVE, SUITE 303
PORT JEFFERSON, NY 11777

Suffolk County (631) 729-2140

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 Jessica Blydenburgh's NPI number?

The NPI number for Jessica Blydenburgh is 1144548918. It was assigned to this individual provider in the NPPES registry on May 4, 2010.

Where is Jessica Blydenburgh located?

Jessica Blydenburgh practices at 125 Oakland Ave, Port Jefferson, NY 11777. The listed phone number is (631) 736-1311.

What is Jessica Blydenburgh's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jessica Blydenburgh enrolled in Medicare?

Yes. Jessica Blydenburgh 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 Jessica Blydenburgh affiliated with any hospitals?

According to CMS data, Jessica Blydenburgh is affiliated with North Shore University Hospital, John T Mather Memorial Hospital Of Port Jefferson and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Blydenburgh was last updated on August 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.