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LAWRENCE J GREENBLATT X D.O.
NPI 1265450514
Family Medicine - Sports Medicine in Bellevue, WA

Active since July 17, 2006Opted out of Medicare · through Jan 1, 2027
1407 116TH AVE NE STE 102, BELLEVUE, WA 98004(425) 637-0636 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lawrence J Greenblatt X D.o. NPPES

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

LAWRENCE J GREENBLATT X D.O. (NPI 1265450514) is an individual sports medicine provider in Bellevue, Washington, licensed in Washington (791) and active in the NPI registry since July 2006. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1265450514
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameLAWRENCE J GREENBLATT XCredential: D.O.
Location Address1407 116TH AVE NE STE 102Bellevue, WA 98004-3819
Mailing Address1407 116th Ave Ne Ste 102Bellevue, WA 98004-3819 · (425) 637-0636
Phone(425) 637-0636
Sole ProprietorYes
Enumeration DateJuly 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1265450514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in WA · 791
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
1407 116TH AVE NE STE 102, Bellevue, WA 98004
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Lawrence J Greenblatt X D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2013 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2013
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

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 Lawrence Greenblatt's NPI number?

The NPI number for Lawrence Greenblatt is 1265450514. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Lawrence Greenblatt located?

Lawrence Greenblatt practices at 1407 116th Ave NE Ste 102, Bellevue, WA 98004. The listed phone number is (425) 637-0636.

What is Lawrence Greenblatt's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Lawrence Greenblatt enrolled in Medicare?

No. Lawrence Greenblatt has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lawrence Greenblatt was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.