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ANDREW J BLANKENAU M.D.
NPI 1265538250
Family Medicine in Denton, TX

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment
4400 TEASLEY LN, SUITE 200, DENTON, TX 76210(940) 382-9898(940) 383-3815 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrew J Blankenau M.d. NPPES

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

ANDREW J BLANKENAU M.D. (NPI 1265538250) is an individual family medicine provider in Denton, Texas, licensed in Texas (J3744) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Nebraska College Of Medicine (1990).

NPPES Registry Identity

NPI1265538250
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANDREW J BLANKENAUCredential: M.D.
Location Address4400 TEASLEY LN, SUITE 200Denton, TX 76210-3403
Mailing Address6 Fox Hollow RunShady Shores, TX 76208-5741 · (940) 726-6165
Phone(940) 382-9898
Fax(940) 383-3815
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1990
Enumeration DateSeptember 16, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1265538250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · J3744
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.

4400 TEASLEY LN, Denton, TX 76210
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Other Identifiers 4

Other83Y900TX · Bcbs
OtherJ3744TX · License
Other3250406TX · Bluelink
Other75-2592653TX · Tax Id

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 and accepts Medicare assignment

Andrew J Blankenau M.d. 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 ID4183613847
PECOS Enrollment IDI20100420000996
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 10

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, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
310 services29 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
104 services77 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.
87 services61 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
58 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
51 services51 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
49 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76210 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%172 patients5/55-star benchmark: 100%
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 2

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

MR. KELLY S SELBY R.PH., F.I.A.C.P.
Pharmacist
4400 TEASLEY LN, STE 100
DENTON, TX 76210
Denton County (940) 382-1618
MRS. NANCY PENN SELBY RPH
Pharmacist
4400 TEASLEY LN, STE 100
DENTON, TX 76210
Denton County (940) 382-1618

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 Andrew Blankenau's NPI number?

The NPI number for Andrew Blankenau is 1265538250. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Andrew Blankenau located?

Andrew Blankenau practices at 4400 Teasley Ln Suite 200, Denton, TX 76210. The listed phone number is (940) 382-9898.

What is Andrew Blankenau's specialty?

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

Is Andrew Blankenau enrolled in Medicare?

Yes. Andrew Blankenau 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 Andrew Blankenau 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 Andrew Blankenau 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 Andrew Blankenau was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.