DR. BLAIR DAVID WESTERLY M.D.
NPI 1366685190
Internal Medicine - Pulmonary Disease in Des Moines, IA

Active since April 09, 2009PECOS EnrolledAccepts Medicare Assignment
411 LAUREL ST STE A120, DES MOINES, IA 50314(515) 643-7900(515) 643-7901 Get Directions Write a Review

NPPES record last updated: November 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 11, 2020, Jun 23, 2020, Dec 19, 2018 (3 updates tracked since 2018).

About Dr. Blair David Westerly M.d. NPPES

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

DR. BLAIR DAVID WESTERLY M.D. (NPI 1366685190) is an individual pulmonary disease provider in Des Moines, Iowa, licensed in Iowa (MD-42582) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Mercyone Newton Medical Center, and is a graduate of University Of Missouri, Columbia School Of Medicine (2009).

NPPES Registry Identity

NPI1366685190
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. BLAIR DAVID WESTERLYCredential: M.D.
Location Address411 LAUREL ST STE A120Des Moines, IA 50314-3027
Mailing AddressPo Box 1475Des Moines, IA 50305-1475 · (515) 643-7900 · Fax (515) 643-7901
Fax(515) 643-7901
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2009
Enumeration DateApril 9, 2009
Last NPPES UpdateNovember 11, 20203 updates tracked since enumeration
NPPES CertifiedNovember 11, 2020
NPI 1366685190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in IA · MD-42582 Licensed in MN · 106190 Licensed in MN · 55829
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD-42582 (IA)
411 LAUREL ST STE A120, Des Moines, IA 50314

Other Identifiers 1

MedicaidENROLLEDMN

Accepted 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

Dr. Blair David Westerly 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 ID840456034
PECOS Enrollment IDI20150626000836
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 19

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.
184 services131 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
183 services102 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
163 services97 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.
115 services66 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
90 services90 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.
65 services51 patients

Hospital Affiliations CMS Care Compare 5

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

Mercyone Newton Medical Center

Acute Care Hospitals · Newton, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number160032
Location204 N 4th Ave ENewton, IA 50208 · Jasper County
Emergency services Birthing friendly

Mercyone Des Moines Medical Center

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160083
Location1111 6th AveDes Moines, IA 50314 · Polk County
Emergency services Birthing friendly

Dallas County Hospital

Critical Access Hospitals · Perry, IA
OwnershipGovernment - Local
CMS Certification Number161322
Location610 Tenth StreetPerry, IA 50220 · Dallas County
Emergency services

Knoxville Hospital & Clinics

Critical Access Hospitals · Knoxville, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161355
Location1002 South Lincoln StreetKnoxville, IA 50138 · Marion County
Emergency services

Pella Regional Health Center

Critical Access Hospitals · Pella, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number161367
Location404 Jefferson StreetPella, IA 50219 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50314 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers35 claims35 services$19.39 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
5 suppliers37 claims37 services$6.70 avg. paid by Medicare
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
6 suppliers76 claims76 services$95.78 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
4 suppliers57 claims57 services$34.86 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
10 suppliers28 claims7,959 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
10 suppliers34 claims34 services$24.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
411 LAUREL ST STE A120
DES MOINES, IA 50314
Internal Medicine (Pulmonary Disease)
411 LAUREL ST STE A120
DES MOINES, IA 50314
Internal Medicine (Infectious Disease)
411 LAUREL ST STE A120
DES MOINES, IA 50314
Internal Medicine (Pulmonary Disease)
411 LAUREL ST STE A120
DES MOINES, IA 50314
Internal Medicine (Pulmonary Disease)
411 LAUREL ST STE A120
DES MOINES, IA 50314
Internal Medicine (Infectious Disease)
411 LAUREL ST STE A120
DES MOINES, IA 50314
Internal Medicine (Pulmonary Disease)
411 LAUREL ST STE A120
DES MOINES, IA 50314
Internal Medicine (Pulmonary Disease)
411 LAUREL ST STE A120
DES MOINES, IA 50314

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 Blair Westerly's NPI number?

The NPI number for Blair Westerly is 1366685190. It was assigned to this individual provider in the NPPES registry on April 9, 2009.

Where is Blair Westerly located?

Blair Westerly practices at 411 Laurel St Ste A120, Des Moines, IA 50314. The listed phone number is (515) 643-7900.

What is Blair Westerly's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Blair Westerly enrolled in Medicare?

Yes. Blair Westerly 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 Blair Westerly accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 3 other insurers list Blair Westerly 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.

Is Blair Westerly affiliated with any hospitals?

According to CMS data, Blair Westerly is affiliated with Mercyone Newton Medical Center, Mercyone Des Moines Medical Center, Dallas County Hospital, Knoxville Hospital & Clinics and Pella Regional Health Center.

When was this NPI record last updated?

The NPPES record for Blair Westerly was last updated on November 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.