1. Home
  2. Directory
  3. New York
  4. Buffalo
  5. Internal Medicine
  6. NPI Profile

JACQUELINE ELYSE BLASZAK MD
NPI 1356839286
Internal Medicine in Buffalo, NY

Active since April 26, 2018PECOS EnrolledAccepts Medicare Assignment
91.27/100
CMS Quality Rating
462 GRIDER ST. ERIE COUNTY MEDICAL CENTER, BUFFALO, NY 14215(716) 961-6995(716) 898-5193 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 6, 2021, Jul 29, 2021, Jul 2, 2021 and 1 more (4 updates tracked since 2018).

About Jacqueline Elyse Blaszak Md NPPES

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

JACQUELINE ELYSE BLASZAK MD (NPI 1356839286) is an individual internal medicine provider in Buffalo, New York, licensed in New York (308904) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Erie County Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1356839286
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameJACQUELINE ELYSE BLASZAKCredential: MD
Location Address462 GRIDER ST. ERIE COUNTY MEDICAL CENTERBuffalo, NY 14215
Mailing Address8117 Preston Rd Apogee Physicians, Suite 800Dallas, TX 75225 · (214) 666-9611 · Fax (208) 697-5214
Phone(716) 961-6995
Fax(716) 898-5193
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 26, 2018
Last NPPES UpdateAugust 6, 20214 updates tracked since enumeration
NPPES CertifiedAugust 6, 2021
✔ NPI 1356839286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 308904
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
462 GRIDER ST. ERIE COUNTY MEDICAL CENTER, Buffalo, NY 14215
Open in Google Maps ↗

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

Jacqueline Elyse Blaszak Md 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 ID2062760283
PECOS Enrollment IDI20210924000664
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Erie County Medical Center

Acute Care Hospitals · Buffalo, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330219
Location462 Grider StreetBuffalo, NY 14215 · Erie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14215 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

91.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Improvement Activities40
Cost85.96

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers13 claims13 services$94.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Jacqueline Blaszak's NPI number?

The NPI number for Jacqueline Blaszak is 1356839286. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

Where is Jacqueline Blaszak located?

Jacqueline Blaszak practices at 462 Grider St. Erie County Medical Center, Buffalo, NY 14215. The listed phone number is (716) 961-6995.

What is Jacqueline Blaszak's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jacqueline Blaszak enrolled in Medicare?

Yes. Jacqueline Blaszak 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.

Is Jacqueline Blaszak affiliated with any hospitals?

According to CMS data, Jacqueline Blaszak is affiliated with Erie County Medical Center.

When was this NPI record last updated?

The NPPES record for Jacqueline Blaszak was last updated on August 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.