EDDIE BLAY JR. M.D
NPI 1174935217
Surgery - Surgical Critical Care in Fort Worth, TX

Active since May 23, 2014PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
1325 PENNSYLVANIA AVE STE 690, FORT WORTH, TX 76104(817) 761-7740(817) 761-7742 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 14, 2025, Sep 5, 2024, Aug 2, 2024 and 2 more (5 updates tracked since 2023).

About Eddie Blay Jr. M.d NPPES

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

EDDIE BLAY JR. M.D (NPI 1174935217) is an individual surgical critical care provider in Fort Worth, Texas, licensed in Texas (V8108) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and is a graduate of Duke University School Of Medicine (2014).

NPPES Registry Identity

NPI1174935217
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameEDDIE BLAY JR.Credential: M.D
Location Address1325 PENNSYLVANIA AVE STE 690Fort Worth, TX 76104-2133
Mailing Address1325 Pennsylvania Ave Ste 690Fort Worth, TX 76104-2133 · (314) 251-6440
Fax(817) 761-7742
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2014
Enumeration DateMay 23, 2014
Last NPPES UpdateAugust 14, 20255 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
✔ NPI 1174935217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
Licenses✔ Licensed in TX · V8108✔ Licensed in IL · 036170087✔ Licensed in WI · 43923-20✔ Licensed in MO · 2024010643
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedSurgeryTaxonomy 208600000X · License 036170087 (IL), 43923-20 (WI), 67923 (TN), V8108 (TX)
1325 PENNSYLVANIA AVE STE 690, Fort Worth, TX 76104

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

Eddie Blay Jr. 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 ID6406101443
PECOS Enrollment IDI20240807000794, I20250725002161
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 Eddie Blay reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1301 PENNSYLVANIA AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 1,639 clinicians in this Medicare group
Anesthesiology
2400 N ROCKTON AVE
Rockford, IL 61103
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
Multi-Specialty
580 N WASHINGTON ST
Janesville, WI 53548
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,155 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 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.

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.
81 services53 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.
52 services52 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
51 services51 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.
42 services25 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
13 services13 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
13 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450135
Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Texas Health Harris Methodist Hospital Azle

Acute Care Hospitals · Azle, TX
OwnershipVoluntary non-profit - Church
CMS Certification Number450419
Location108 Denver TrailAzle, TX 76020 · Tarrant County
Emergency services

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520066
Location1000 Mineral Point AveJanesville, WI 53548 · Rock County
Emergency services Birthing friendly

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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
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.

Nurse Practitioner (Acute Care)
1325 PENNSYLVANIA AVE STE 690
FORT WORTH, TX 76104
Surgery (Surgical Critical Care)
1325 PENNSYLVANIA AVE STE 690
FORT WORTH, TX 76104
Obstetrics & Gynecology
1325 PENNSYLVANIA AVE STE 690
FORT WORTH, TX 76104
Physician Assistant (Surgical)
1325 PENNSYLVANIA AVE STE 690
FORT WORTH, TX 76104
Surgery (Surgical Critical Care)
1325 PENNSYLVANIA AVE STE 690
FORT WORTH, TX 76104
Obstetrics & Gynecology
1325 PENNSYLVANIA AVE STE 690
FORT WORTH, TX 76104
Surgery (Surgical Critical Care)
1325 PENNSYLVANIA AVE STE 690
FORT WORTH, TX 76104
Surgery
1325 PENNSYLVANIA AVE STE 690
FORT WORTH, TX 76104

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 Eddie Blay's NPI number?

The NPI number for Eddie Blay is 1174935217. It was assigned to this individual provider in the NPPES registry on May 23, 2014.

Where is Eddie Blay located?

Eddie Blay practices at 1325 Pennsylvania Ave Ste 690, Fort Worth, TX 76104. The listed phone number is (817) 761-7740.

What is Eddie Blay's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Eddie Blay enrolled in Medicare?

Yes. Eddie Blay 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 Eddie Blay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eddie Blay reassigns Medicare benefits to 3 organizations: Texas Health Physicians Group (Fort Worth, TX), Rockford Health Physicians (Rockford, IL) and Mercy Health System Corporation (Janesville, WI). 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 Eddie Blay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eddie Blay accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Eddie Blay 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 Eddie Blay affiliated with any hospitals?

According to CMS data, Eddie Blay is affiliated with Texas Health Harris Methodist Hospital Fort Worth, Texas Health Harris Methodist Hospital Azle and Mercy Health System Corp.

When was this NPI record last updated?

The NPPES record for Eddie Blay was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.