JEFFREY L BLICKENSTAFF MD
NPI 1225056955
Family Medicine in Perham, MN

Q: What is Jeffrey Blickenstaff's NPI number?

The NPI number for Jeffrey Blickenstaff is 1225056955. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Q: What is Jeffrey Blickenstaff's specialty?

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

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment

74.19/100

CMS Quality Rating

665 3RD ST SW, PERHAM, MN 56573(218) 346-4040(218) 346-4043 Get Directions Write a Review

NPPES record last updated: January 5, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Jeffrey L Blickenstaff Md NPPES

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

JEFFREY L BLICKENSTAFF MD (NPI 1225056955) is an individual family medicine provider in Perham, Minnesota, licensed in Minnesota (27074) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Perham Health, and is a graduate of Indiana University School Of Medicine (1979).

NPPES Registry Identity

NPI1225056955

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJEFFREY L BLICKENSTAFFCredential: MD

Location Address665 3RD ST SWPerham, MN 56573-1108

Mailing Address665 3rd St SwPerham, MN 56573-1108 · (218) 346-4040 · Fax (218) 346-4043

Phone(218) 346-4040

Fax(218) 346-4043

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 1979

Enumeration DateJuly 18, 2006

Last NPPES UpdateJanuary 5, 2012

✔ NPI 1225056955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 27074

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.

665 3RD ST SW, Perham, MN 56573

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Other Identifiers 1

Medicare UPIND48415

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.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

Jeffrey L Blickenstaff Md 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 ID1951597053

PECOS Enrollment IDI20101201000974

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 Reassignment

Medicare enrollment records show Jeffrey Blickenstaff reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Perham Hospital District

Same address

Family Medicine

665 3RD ST SW
Perham, MN 56573

Reassigned Medicare billing, Minnesota enrollment
69 clinicians in this Medicare group

NPI 1457631814 (218) 347-1200

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 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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

146 services39 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

71 services31 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

33 services30 patients

Nursing facility discharge day management, 30 minutes or less 99315

Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.

20 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Perham Health

Critical Access Hospitals · Perham, MN

OwnershipGovernment - Hospital District or Authority

CMS Certification Number241373

Location1000 Coney Street WestPerham, MN 56573 · Otter Tail County

Emergency services

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350011

Location801 Broadway NorthFargo, ND 58122 · Cass County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56573 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

74.19/100

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

Scored as part of a group practice

Quality

87.45

Promoting Interoperability

Improvement Activities

Cost

27.37

Referred Medical Equipment & Supplies CMS DME claims 23

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

5 suppliers95 claims165 services$6.03 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers23 claims23 services$1.08 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407

DME-Orthotic Devices · category DF010N

2 suppliers13 claims140 services$7.87 avg. paid by Medicare

Adhesive remover, wipes, any type, each A4456

DME-Medical/Surgical Supplies · category DA000N

2 suppliers13 claims550 services$0.21 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

4 suppliers20 claims20 services$43.88 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063

DME-Orthotic Devices · category DF010N

2 suppliers14 claims240 services$2.39 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

3 suppliers12 claims12 services$109.78 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

3 suppliers12 claims31 services$42.66 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

6 suppliers21 claims114 services$17.22 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

7 suppliers29 claims29 services$69.51 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

6 suppliers35 claims35 services$24.95 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

6 suppliers15 claims15 services$21.13 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers29 claims170 services$2.89 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

4 suppliers14 claims14 services$14.30 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers25 claims26 services$20.57 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers14 claims14 services$7.79 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers15 claims15 services$44.48 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 suppliers33 claims34 services$105.56 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

5 suppliers31 claims3,600 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

3 suppliers18 claims1,050 services$0.78 avg. paid by Medicare

Standard hemi (low seat) wheelchair K0002

DME-Wheelchairs · category DD000N

1 supplier15 claims15 services$36.77 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers34 claims34 services$194.41 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

5 suppliers47 claims47 services$24.96 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 9

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

DR. RICHARD W MASUR MD

Emergency Medicine

665 3RD ST SW
PERHAM, MN 56573

Otter Tail County (218) 346-4500

COREY L NYHUS MD

Family Medicine

665 3RD ST SW
PERHAM, MN 56573

Otter Tail County (218) 347-1200

PERHAM HOSPITAL DISTRICT

Family Medicine

665 3RD ST SW
PERHAM, MN 56573

Otter Tail County (218) 347-1200

SANFORD MEDICAL CENTER FARGO

Family Medicine

665 3RD ST SW
PERHAM, MN 56573

Otter Tail County (218) 347-1200

DR. AMY MARIE VOGT PHARM D.

Pharmacist

665 3RD ST SW, SUITE 100
PERHAM, MN 56573

Otter Tail County (218) 346-4550

DUANE WALLACE RPH

Pharmacist

665 3RD ST SW
PERHAM, MN 56573

Otter Tail County (218) 346-1169

STEPHEN R HIETALA MD

Family Medicine

665 3RD ST SW
PERHAM, MN 56573

Otter Tail County (218) 347-1200

MARISA LEA ZUTTER DNP

Nurse Practitioner (Family)

665 3RD ST SW
PERHAM, MN 56573

Otter Tail County (218) 371-6117

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 Jeffrey Blickenstaff's NPI number?

The NPI number for Jeffrey Blickenstaff is 1225056955. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Jeffrey Blickenstaff located?

Jeffrey Blickenstaff practices at 665 3rd St SW, Perham, MN 56573. The listed phone number is (218) 346-4040.

What is Jeffrey Blickenstaff's specialty?

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

Is Jeffrey Blickenstaff enrolled in Medicare?

Yes. Jeffrey Blickenstaff 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 organization bills Medicare for Jeffrey Blickenstaff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Blickenstaff reassigns Medicare benefits to Perham Hospital District (Perham, MN). The 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 Jeffrey Blickenstaff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Blickenstaff accept?

Health plans from Sanford Health Plan list Jeffrey Blickenstaff 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 Jeffrey Blickenstaff affiliated with any hospitals?

According to CMS data, Jeffrey Blickenstaff is affiliated with Perham Health and Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Jeffrey Blickenstaff was last updated on January 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.