CARL J. BLOND M.D.
NPI 1174507776
Internal Medicine - Nephrology in Portland, ME

Active since December 06, 2005PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
1600 CONGRESS ST, PORTLAND, ME 04102(207) 774-5222 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 19, 2021, Aug 19, 2020 (2 updates tracked since 2020).

About Carl J. Blond M.d. NPPES

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

CARL J. BLOND M.D. (NPI 1174507776) is an individual nephrology provider in Portland, Maine, licensed in Texas (F8413) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1174507776
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameCARL J. BLONDCredential: M.D.
Location Address1600 CONGRESS STPortland, ME 04102-2143
Mailing Address7142 San Pedro Ave Ste 120San Antonio, TX 78216-6256 · (210) 661-5622 · Fax (210) 798-6811
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateDecember 6, 2005
Last NPPES UpdateAugust 1, 20232 updates tracked since enumeration
NPPES CertifiedAugust 1, 2023
NPI 1174507776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in TX · F8413
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1600 CONGRESS ST, Portland, ME 04102

Secondary Practice Location 1

Location 12391 NE Loop 410 Ste 405San Antonio, TX 78217-5675 · Phone (210) 654-7326 · Fax (210) 590-8232

Other Identifiers 2

Medicaid119151201TX
Other390001456TX · Medicare Railroad

Accepted 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

Carl J. Blond 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 ID7911816764
PECOS Enrollment IDI20101206001216
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
332 services120 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
55 services54 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
34 services28 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Connally Memorial Medical Center

Acute Care Hospitals · Floresville, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450108
Location499 10th StreetFloresville, TX 78114 · Wilson County
Emergency services

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Uvalde Memorial Hospital

Critical Access Hospitals · Uvalde, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451387
Location1025 Garner Field RoadUvalde, TX 78801 · Uvalde County
Emergency services

Methodist Hospital Stone Oak

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670055
Location1139 E Sonterra Blvd,San Antonio, TX 78258 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers39 claims39 services$14.85 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
2 suppliers39 claims39 services$63.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Specialist
1600 CONGRESS ST, SUITE C
PORTLAND, ME 04102
Nurse Practitioner (Acute Care)
1600 CONGRESS ST, SUITE C
PORTLAND, ME 04102
Preventive Medicine (Occupational Medicine)
1600 CONGRESS ST
PORTLAND, ME 04102
Nurse Practitioner (Acute Care)
1600 CONGRESS ST
PORTLAND, ME 04102
Physical Therapist
1600 CONGRESS ST
PORTLAND, ME 04102
Internal Medicine (Nephrology)
1600 CONGRESS ST
PORTLAND, ME 04102
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1600 CONGRESS ST
PORTLAND, ME 04102
Physician Assistant
1600 CONGRESS ST
PORTLAND, ME 04102

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 Carl Blond's NPI number?

The NPI number for Carl Blond is 1174507776. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Where is Carl Blond located?

Carl Blond practices at 1600 Congress St, Portland, ME 04102. The listed phone number is (207) 774-5222.

What is Carl Blond's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Carl Blond enrolled in Medicare?

Yes. Carl Blond 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 Carl Blond accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company list Carl Blond 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 Carl Blond affiliated with any hospitals?

According to CMS data, Carl Blond is affiliated with Baptist Medical Center, Connally Memorial Medical Center, Methodist Hospital, Uvalde Memorial Hospital and Methodist Hospital Stone Oak.

When was this NPI record last updated?

The NPPES record for Carl Blond was last updated on August 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.