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DR. DERRICK K BLANTON PYSD
NPI 1194830133
Psychologist - Clinical in Frisco, TX

Active since August 20, 2006PECOS Enrolled
0/100
CMS Quality Rating
13284 BUGATTI DR, FRISCO, TX 75034(214) 551-7104(214) 615-6358 Get Directions Write a Review

NPPES record last updated: February 22, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Derrick K Blanton Pysd NPPES

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

DR. DERRICK K BLANTON PYSD (NPI 1194830133) is an individual clinical provider in Frisco, Texas, licensed in Texas (32512) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194830133
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DERRICK K BLANTONCredential: PYSD
Location Address13284 BUGATTI DRFrisco, TX 75034-0916
Mailing Address13284 Bugatti DrFrisco, TX 75034-0916 · (214) 551-7104 · Fax (214) 615-6358
Phone(214) 551-7104
Fax(214) 615-6358
Sole ProprietorYes
Enumeration DateAugust 20, 2006
Last NPPES UpdateFebruary 22, 2010
✔ NPI 1194830133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in TX · 32512
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
13284 BUGATTI DR, Frisco, TX 75034
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Other Identifiers 6

Medicare PIN8F23177TX
Medicare PIN8F23279TX
Medicaid170206001TX
Medicare PIN614153TX
Medicare PIN611200TX
Medicare PIN8F23280TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Derrick K Blanton Pysd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
459 services179 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
382 services82 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
258 services253 patients
Psychiatric services complicated by communication factor 90785
Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.
257 services252 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75034 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
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 2

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

BIOFEEDBACK & BEHAVIORAL HEALTHCARE SOLUTIONS, P.A.
Psychologist (Clinical)
13284 BUGATTI DR
FRISCO, TX 75034
Denton County (214) 551-7104
BIOFEEDBACK & BEHAVIORAL HEALTHCARE SOLUTIONS, P.A.
Psychologist (Clinical)
13284 BUGATTI DR
FRISCO, TX 75034
Denton County (214) 551-7104

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 Derrick Blanton's NPI number?

The NPI number for Derrick Blanton is 1194830133. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Derrick Blanton located?

Derrick Blanton practices at 13284 Bugatti Dr, Frisco, TX 75034. The listed phone number is (214) 551-7104.

What is Derrick Blanton's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Derrick Blanton enrolled in Medicare?

Yes. Derrick Blanton is registered in the Medicare PECOS enrollment system.

What insurance does Derrick Blanton 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 1 other insurer list Derrick Blanton 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.

When was this NPI record last updated?

The NPPES record for Derrick Blanton was last updated on February 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.