JOHN STUART BLANKENSHIP MD
NPI 1225267370
Orthopaedic Surgery in Elizabethtown, KY

Active since July 10, 2009PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1111 RING RD, ELIZABETHTOWN, KY 42701(270) 737-4343(270) 769-1072 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Stuart Blankenship Md NPPES

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

JOHN STUART BLANKENSHIP MD (NPI 1225267370) is an individual orthopaedic surgery provider in Elizabethtown, Kentucky, licensed in Kentucky (46806) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and is a graduate of University Of Kentucky College Of Medicine (2009).

NPPES Registry Identity

NPI1225267370
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJOHN STUART BLANKENSHIPCredential: MD
Location Address1111 RING RDElizabethtown, KY 42701-4900
Mailing Address1111 Ring RdElizabethtown, KY 42701-4900 · (270) 737-4343 · Fax (270) 769-1072
Fax(270) 769-1072
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2009
Enumeration DateJuly 10, 2009
Last NPPES UpdateOctober 2, 2024
NPPES CertifiedOctober 2, 2024
NPI 1225267370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in KY · 46806 Licensed in IL · 125-057081
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1111 RING RD, Elizabethtown, KY 42701

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

John Stuart Blankenship 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 ID7416197017
PECOS Enrollment IDI20140825000503
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 29

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.

Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg J3304
Triamcinolone acetonide is a long-lasting, preservative-free steroid injection. It's delivered in tiny, slow-releasing particles (microspheres) to manage inflammation or related conditions. The dose given is 1 mg. It's generally safe with few side effects.
5,193 services101 patients
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325
Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.
3,024 services34 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,800 services260 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.
528 services363 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
490 services299 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
386 services226 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42701 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
3 suppliers19 claims19 services$62.59 avg. paid by Medicare
Dynamic adjustable knee extension / flexion device, includes soft interface material E1810
DME-Other DME · category DE000N
1 supplier15 claims15 services$63.28 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$42.93 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 20

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

Physical Therapist
1111 RING RD
ELIZABETHTOWN, KY 42701
Specialist/Technologist (Athletic Trainer)
1111 RING RD
ELIZABETHTOWN, KY 42701
Physician Assistant
1111 RING RD
ELIZABETHTOWN, KY 42701
Orthopaedic Surgery
1111 RING RD
ELIZABETHTOWN, KY 42701
Nurse Practitioner (Family)
1111 RING RD
ELIZABETHTOWN, KY 42701
Physician Assistant
1111 RING RD, WORKWELL
ELIZABETHTOWN, KY 42701
Physical Therapist
1111 RING RD
ELIZABETHTOWN, KY 42701
Physical Therapist
1111 RING RD
ELIZABETHTOWN, KY 42701

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 John Blankenship's NPI number?

The NPI number for John Blankenship is 1225267370. It was assigned to this individual provider in the NPPES registry on July 10, 2009.

Where is John Blankenship located?

John Blankenship practices at 1111 Ring Rd, Elizabethtown, KY 42701. The listed phone number is (270) 737-4343.

What is John Blankenship's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is John Blankenship enrolled in Medicare?

Yes. John Blankenship 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 John Blankenship accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list John Blankenship 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 John Blankenship affiliated with any hospitals?

According to CMS data, John Blankenship is affiliated with Baptist Health Hardin.

When was this NPI record last updated?

The NPPES record for John Blankenship was last updated on October 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.