DR. STEPHANIE MCGRATH BLAIR MD
NPI 1487653804
Internal Medicine - Pulmonary Disease in Alexandria, LA

Active since July 18, 2005PECOS EnrolledAccepts Medicare Assignment
211 4TH ST, ALEXANDRIA, LA 71301(318) 769-5283(318) 769-5213 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Stephanie Mcgrath Blair Md NPPES

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

DR. STEPHANIE MCGRATH BLAIR MD (NPI 1487653804) is an individual pulmonary disease provider in Alexandria, Louisiana, licensed in Louisiana (14122R) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Franciscan Health Olympia & Chicago Heights, and is a graduate of University Of Missouri, Columbia School Of Medicine (1993).

NPPES Registry Identity

NPI1487653804
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. STEPHANIE MCGRATH BLAIRCredential: MD
Location Address211 4TH STAlexandria, LA 71301-8421
Mailing Address211 4th StAlexandria, LA 71301-8421 · (318) 769-5283 · Fax (318) 769-5213
Fax(318) 769-5213
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1993
Enumeration DateJuly 18, 2005
Last NPPES UpdateMarch 31, 2022
NPPES CertifiedMarch 31, 2022
✔ NPI 1487653804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in LA · 14122R
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 14122R (LA)
211 4TH ST, Alexandria, LA 71301

Other Names 1

Former Name (1)Dr. Stephanie J Mcgrath

Other Identifiers 1

Medicaid1122645LA

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

Dr. Stephanie Mcgrath Blair 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 ID1456251560
PECOS Enrollment IDI20220613000433, I20230504001738, I20231130002428
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

8

Medicare enrollment records show Stephanie Blair reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Care Medicine
2830 CALDER ST
Beaumont, TX 77702
  • Reassigned Medicare billing, Texas enrollment
  • 84 clinicians in this Medicare group
Internal Medicine
8200 WALNUT HILL LN
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 1,208 clinicians in this Medicare group
Internal Medicine
1700 E SAUNDERS ST
Laredo, TX 78041
  • Reassigned Medicare billing, Texas enrollment
  • 94 clinicians in this Medicare group
Emergency Medicine
1700 E SAUNDERS ST
Laredo, TX 78041
  • Reassigned Medicare billing, Texas enrollment
  • 49 clinicians in this Medicare group
Critical Care Medicine
1015 BOWLES AVE
Fenton, MO 63026
  • Reassigned Medicare billing, Missouri enrollment
  • 255 clinicians in this Medicare group
Critical Care Medicine
2000 OGDEN AVE
Aurora, IL 60504
  • Reassigned Medicare billing, Illinois enrollment
  • 96 clinicians in this Medicare group
Critical Care Medicine
2450 S TELSHOR BLVD
Las Cruces, NM 88011
  • Reassigned Medicare billing, New Mexico enrollment
  • 69 clinicians in this Medicare group
Critical Care Medicine
4000 JOHNSON RD
Steubenville, OH 43952
  • Reassigned Medicare billing, Ohio enrollment
  • 23 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.

Areas of Expertise CMS Part B claims 4

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.

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.
236 services108 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.
74 services68 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
12 services12 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Franciscan Health Olympia & Chicago Heights

Acute Care Hospitals · Olympia Fields, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140172
Location20201 S Crawford AvenueOlympia Fields, IL 60461 · Cook County
Emergency services Birthing friendly

Trinity Medical Ctr East &trinity Medical Ctr West

Acute Care Hospitals · Steubenville, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360211
Location380 Summit AvenueSteubenville, OH 43952 · Jefferson County
Emergency services Birthing friendly

Laredo Medical Center

Acute Care Hospitals · Laredo, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450029
Location1700 East SaundersLaredo, TX 78044 · Webb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71301 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%120 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Anesthesiology
211 4TH ST
ALEXANDRIA, LA 71301
Nurse Practitioner (Family)
211 4TH ST
ALEXANDRIA, LA 71301
Obstetrics & Gynecology
211 4TH ST
ALEXANDRIA, LA 71301
Emergency Medicine
211 4TH ST
ALEXANDRIA, LA 71301
Radiology (Diagnostic Radiology)
211 4TH ST
ALEXANDRIA, LA 71301
Nurse Anesthetist, Certified Registered
211 4TH ST
ALEXANDRIA, LA 71301
Nurse Anesthetist, Certified Registered
211 4TH ST
ALEXANDRIA, LA 71301
Nurse Practitioner (Gerontology)
211 4TH ST
ALEXANDRIA, LA 71301

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 Stephanie Blair's NPI number?

The NPI number for Stephanie Blair is 1487653804. It was assigned to this individual provider in the NPPES registry on July 18, 2005. The provider is also known as Dr. Stephanie J Mcgrath.

Where is Stephanie Blair located?

Stephanie Blair practices at 211 4th St, Alexandria, LA 71301. The listed phone number is (318) 769-5283.

What is Stephanie Blair's specialty?

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

Is Stephanie Blair enrolled in Medicare?

Yes. Stephanie 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.

Which organizations bill Medicare for Stephanie Blair's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Blair reassigns Medicare benefits to 8 organizations: Southeast Texas Intensivists, PLLC (Beaumont, TX), Cogent Healthcare Of Texas, PA (Dallas, TX), Hcc Of Laredo LLC (Laredo, TX), Laredo Icu, LLC (Laredo, TX), Cogent Healthcare Of Missouri, Inc (Fenton, MO) and 3 more organizations, listed in the Medicare section above. 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 Stephanie Blair's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Blair accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Health and Oscar Insurance Company list Stephanie 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 Stephanie Blair affiliated with any hospitals?

According to CMS data, Stephanie Blair is affiliated with Franciscan Health Olympia & Chicago Heights, Trinity Medical Ctr East &trinity Medical Ctr West and Laredo Medical Center.

When was this NPI record last updated?

The NPPES record for Stephanie Blair was last updated on March 31, 2022. 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.