GRANT SCOTT BLUDORN DO
NPI 1265920789
Family Medicine in Ashland, WI

Q: What is Grant Bludorn's NPI number?

The NPI number for Grant Bludorn is 1265920789. It was assigned to this individual provider in the NPPES registry on April 30, 2018.

Q: What is Grant Bludorn's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Grant Bludorn was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.

Active since April 30, 2018PECOS EnrolledAccepts Medicare Assignment

1615 MAPLE LN, ASHLAND, WI 54806(715) 685-5700 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 9, 2025, Nov 24, 2023, Oct 20, 2021 and 3 more (6 updates tracked since 2018).

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About Grant Scott Bludorn Do NPPES

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

GRANT SCOTT BLUDORN DO (NPI 1265920789) is an individual family medicine provider in Ashland, Wisconsin, licensed in Wisconsin (81388-21) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of Edward Via Col Of Osteo Medicine-carolinas Campus (2018).

NPPES Registry Identity

NPI1265920789

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameGRANT SCOTT BLUDORNCredential: DO

Location Address1615 MAPLE LNAshland, WI 54806-3626

Mailing AddressPo Box 34703Seattle, WA 98124-1703

Phone(715) 685-5700

Sole ProprietorNo

Medical School CMSEdward Via Col Of Osteo Medicine-carolinas CampusGraduated 2018

Enumeration DateApril 30, 2018

Last NPPES UpdateJanuary 9, 20256 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2025

✔ NPI 1265920789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in WI · 81388-21✔ Licensed in WA · OP61177677

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.

1615 MAPLE LN, Ashland, WI 54806

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Other Identifiers 1

Medicaid2193658WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Security Health Plan.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

Grant Scott Bludorn Do 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 ID2062769482

PECOS Enrollment IDI20211102000832, I20240422001541

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.

Hospital Affiliations CMS Care Compare 3

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

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240002

Location402 East Second StreetDuluth, MN 55805 · St. Louis County

Emergency services Birthing friendly

St Lukes Hospital

Acute Care Hospitals · Duluth, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240047

Location915 East 1st StreetDuluth, MN 55805 · St. Louis County

Emergency services Birthing friendly

Tamarack Health Ashland Medical Center

Critical Access Hospitals · Ashland, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521359

Location1615 Maple LaneAshland, WI 54806 · Ashland County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54806 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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.

BARBARA E JUSULA NP

Registered Nurse