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ROBERT JOHN BLANCO M.D.
NPI 1316272099
Preventive Medicine - Occupational Medicine in Oshkosh, WI

Active since October 13, 2009PECOS EnrolledAccepts Medicare Assignment
855 N WESTHAVEN DR, OSHKOSH, WI 54904(920) 303-8700(920) 303-8993 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 23, 2021, Apr 25, 2018, Nov 11, 2015 (3 updates tracked since 2015).

About Robert John Blanco M.d. NPPES

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

ROBERT JOHN BLANCO M.D. (NPI 1316272099) is an individual occupational medicine provider in Oshkosh, Wisconsin, licensed in Wisconsin (52680-020) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1316272099
Entity TypeIndividualMale
Primary Taxonomy2083X0100X
Provider Legal NameROBERT JOHN BLANCOCredential: M.D.
Location Address855 N WESTHAVEN DROshkosh, WI 54904-7668
Mailing Address855 N Westhaven DrOshkosh, WI 54904-7668 · (920) 303-8700 · Fax (920) 303-8993
Phone(920) 303-8700
Fax(920) 303-8993
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 13, 2009
Last NPPES UpdateMarch 15, 20243 updates tracked since enumeration
NPPES CertifiedMarch 15, 2024
✔ NPI 1316272099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083X0100X
License✔ Licensed in WI · 52680-020
Definition
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 52680-20 (WI)
855 N WESTHAVEN DR, Oshkosh, WI 54904
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Other Identifiers 1

Medicaid100075672WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), UnitedHealthcare.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

Robert John Blanco 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 ID1951664101
PECOS Enrollment IDI20180423000035
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 Reassignment

Medicare enrollment records show Robert Blanco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aurora Medical Group, Inc.
47 mi
Clinic/Center
2414 KOHLER MEMORIAL DR
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1174670244 (920) 457-4461

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 54904 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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.

JACQUELINE ANN OTS PENDING
Nurse Practitioner
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Winnebago County (920) 303-8700
RYAN DEBAUCHE
Pharmacist
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Winnebago County (920) 303-8830
LEAH FYNAARDT
Physician Assistant
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Winnebago County (920) 303-8700
ZAHID N DAR MD
Internal Medicine (Hematology & Oncology)
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Winnebago County (920) 303-8700
XING KONG NP
Nurse Practitioner
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Winnebago County (920) 303-8700
MS. MICHELE M OSBORNE CRNA-MNA
Nurse Anesthetist, Certified Registered
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Winnebago County (920) 303-8700
ERIN M LAMERS PT
Physical Therapist
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Winnebago County (920) 303-8700
LANELLE R WAECH RN
Registered Nurse
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Winnebago County (920) 303-3266

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 Robert Blanco's NPI number?

The NPI number for Robert Blanco is 1316272099. It was assigned to this individual provider in the NPPES registry on October 13, 2009.

Where is Robert Blanco located?

Robert Blanco practices at 855 N Westhaven Dr, Oshkosh, WI 54904. The listed phone number is (920) 303-8700.

What is Robert Blanco's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Is Robert Blanco enrolled in Medicare?

Yes. Robert Blanco 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 organization bills Medicare for Robert Blanco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Blanco reassigns Medicare benefits to Aurora Medical Group, Inc. (Sheboygan, WI). The 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 Robert Blanco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Blanco accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare) and UnitedHealthcare list Robert Blanco 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 Robert Blanco was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.