JOSEPH BLANDFORD III
NPI 1295240901
Social Worker - Clinical in Louisville, KY

Active since December 05, 2017PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
600 S PRESTON ST, LOUISVILLE, KY 40202(502) 589-8600 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Joseph Blandford Iii NPPES

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

JOSEPH BLANDFORD III (NPI 1295240901) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (255199) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1295240901
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJOSEPH BLANDFORD III
Location Address600 S PRESTON STLouisville, KY 40202-1716
Mailing Address10101 Linn Station RdLouisville, KY 40223-3848
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 5, 2017
Last NPPES UpdateApril 28, 2023
NPPES CertifiedApril 28, 2023
✔ NPI 1295240901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in KY · 255199
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 173735 (KY)
600 S PRESTON ST, Louisville, KY 40202

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joseph Blandford Iii 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 ID5698181220
PECOS Enrollment IDI20210305002103, I20230508000842
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Joseph Blandford reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
404 SPRING ST
Jeffersonville, IN 47130
  • Reassigned Medicare billing, Indiana enrollment
  • 119 clinicians in this Medicare group
Family Medicine
3516 E 10TH ST
Jeffersonville, IN 47130
  • Reassigned Medicare billing, Indiana and Kentucky enrollments
  • Also billed through NPI 1629740774 (Kentucky)
  • 532 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$0.00 typical visit price
range $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
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

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.

Counselor (Addiction (Substance Use Disorder))
600 S PRESTON ST
LOUISVILLE, KY 40202
Nurse Practitioner
600 S PRESTON ST
LOUISVILLE, KY 40202
Licensed Practical Nurse
600 S PRESTON ST
LOUISVILLE, KY 40202
Counselor (Professional)
600 S PRESTON ST
LOUISVILLE, KY 40202
Counselor (Addiction (Substance Use Disorder))
600 S PRESTON ST
LOUISVILLE, KY 40202
Licensed Practical Nurse
600 S PRESTON ST
LOUISVILLE, KY 40202
Counselor (Addiction (Substance Use Disorder))
600 S PRESTON ST
LOUISVILLE, KY 40202
Counselor (Addiction (Substance Use Disorder))
600 S PRESTON ST
LOUISVILLE, KY 40202

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 Joseph Blandford's NPI number?

The NPI number for Joseph Blandford is 1295240901. It was assigned to this individual provider in the NPPES registry on December 5, 2017.

Where is Joseph Blandford located?

Joseph Blandford practices at 600 S Preston St, Louisville, KY 40202. The listed phone number is (502) 589-8600.

What is Joseph Blandford's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Joseph Blandford enrolled in Medicare?

Yes. Joseph Blandford 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.

Which organizations bill Medicare for Joseph Blandford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Blandford reassigns Medicare benefits to 2 organizations: Lifespring, Inc (Jeffersonville, IN) and Baptist Health Medical Group, Inc. (Jeffersonville, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joseph Blandford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Blandford accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Joseph Blandford 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 Joseph Blandford was last updated on April 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.