DR. RICHARD DALE BLICKENSTAFF M.D.
NPI 1265514582
Dermatology - Procedural Dermatology in Boise, ID

Q: What is Richard Blickenstaff's NPI number?

The NPI number for Richard Blickenstaff is 1265514582. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Q: What is Richard Blickenstaff's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Active since October 19, 2006

6454 W EMERALD STREET, BOISE, ID 83704(208) 377-0820 Get Directions Write a Review

NPPES record last updated: November 29, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Richard Dale Blickenstaff M.d. NPPES

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

DR. RICHARD DALE BLICKENSTAFF M.D. (NPI 1265514582) is an individual procedural dermatology provider in Boise, Idaho, licensed in Idaho (M-5274) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1265514582

Entity TypeIndividualMale

Primary Taxonomy207NS0135X

Provider Legal NameDR. RICHARD DALE BLICKENSTAFFCredential: M.D.

Location Address6454 W EMERALD STREETBoise, ID 83704-8734

Mailing Address6454 W Emerald StreetBoise, ID 83704-8734

Phone(208) 377-0820

Sole ProprietorYes

Enumeration DateOctober 19, 2006

Last NPPES UpdateNovember 29, 2007

✔ NPI 1265514582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207NS0135X

License✔ Licensed in ID · M-5274

Definition

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

6454 W EMERALD STREET, Boise, ID 83704

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Other Identifiers 1

Medicare PIN11203971ID

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.

Reported Quality Measures

Psoriasis: Clinical Response to Oral Systemic or Biologic Medications

Percentage of psoriasis vulgaris patients receiving oral systemic or biologic therapy who meet minimal physician-or patient- reported disease activity levels.

96%25 patients

Psoriasis: Tuberculosis (TB) Prevention for Patients with Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis Patients on a Biological Immune Response Modifier

Percentage of patients whose providers are ensuring active tuberculosis prevention either through yearly negative standard tuberculosis screening tests or are reviewing the patient's history to determine if they have had appropriate management for a recent or…

100%23 patients

Tobacco Use and Help with Quitting Among Adolescents

The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user

91%23 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

ADA DERMATOLOGY, P.A.

Dermatology (Procedural Dermatology)

6454 W EMERALD STREET
BOISE, ID 83704

Ada County (208) 377-0820

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 Richard Blickenstaff's NPI number?

The NPI number for Richard Blickenstaff is 1265514582. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Richard Blickenstaff located?

Richard Blickenstaff practices at 6454 W Emerald Street, Boise, ID 83704. The listed phone number is (208) 377-0820.

What is Richard Blickenstaff's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

When was this NPI record last updated?

The NPPES record for Richard Blickenstaff was last updated on November 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.