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DR. RICHARD BLAIR DO
NPI 1407895972
Family Medicine - Adult Medicine in Louisville, KY

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
210 E GRAY ST STE 700, LOUISVILLE, KY 40202(502) 629-5400(502) 629-5492 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 12, 2020, Sep 28, 2020, Mar 11, 2020 and 2 more (5 updates tracked since 2019).

About Dr. Richard Blair Do NPPES

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

DR. RICHARD BLAIR DO (NPI 1407895972) is an individual adult medicine provider in Louisville, Kentucky, licensed in Kentucky (03784) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1996).

NPPES Registry Identity

NPI1407895972
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameDR. RICHARD BLAIRCredential: DO
Location Address210 E GRAY ST STE 700Louisville, KY 40202
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 629-5400
Fax(502) 629-5492
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1996
Enumeration DateJune 6, 2006
Last NPPES UpdateApril 26, 20235 updates tracked since enumeration
NPPES CertifiedApril 26, 2023
✔ NPI 1407895972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Licenses✔ Licensed in KY · 03784✔ Licensed in MS · 15435
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
210 E GRAY ST STE 700, Louisville, KY 40202
Open in Google Maps ↗

Other Identifiers 4

Medicaid009989045AL
Other51527542AL · Blue Cross
OtherK188051KY · Medicare
Medicaid7100378800KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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. Richard Blair 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 ID7517918162
PECOS Enrollment IDI20151001002352
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 9

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.

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.
315 services144 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
175 services105 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.
62 services46 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
42 services42 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
38 services38 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
32 services32 patients

Hospital Affiliations CMS Care Compare

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers20 claims31 services$5.11 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers13 claims13 services$0.78 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers16 claims16 services$13.80 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
2 suppliers26 claims26 services$72.05 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
1 supplier13 claims780 services$0.10 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier13 claims13 services$26.03 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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER C BRISLIN APRN
Nurse Practitioner (Family)
210 E GRAY ST STE 700
LOUISVILLE, KY 40202
Jefferson County (502) 629-5400
DR. JONATHAN CHRISTOPHER KAPP M.D.
Internal Medicine
210 E GRAY ST STE 700
LOUISVILLE, KY 40202
Jefferson County (502) 629-5400
MAXWELL COSTA TAGUE MD
Family Medicine
210 E GRAY ST STE 700
LOUISVILLE, KY 40202
Jefferson County (502) 629-5400
MRS. STACIE SWITZER CHENEY APRN
Nurse Practitioner (Family)
210 E GRAY ST STE 700
LOUISVILLE, KY 40202
Jefferson County (502) 629-5400

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 Richard Blair's NPI number?

The NPI number for Richard Blair is 1407895972. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Richard Blair located?

Richard Blair practices at 210 E Gray St Ste 700, Louisville, KY 40202. The listed phone number is (502) 629-5400.

What is Richard Blair's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Richard Blair enrolled in Medicare?

Yes. Richard Blair 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 Richard Blair accept?

Health plans from CareSource list Richard Blair 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 Richard Blair affiliated with any hospitals?

According to CMS data, Richard Blair is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Richard Blair was last updated on April 26, 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.