MICHAEL JOSE BLANCO M.D.
NPI 1508284456
Internal Medicine - Gastroenterology in Franklin, TN

Q: What is Michael Blanco's NPI number?

The NPI number for Michael Blanco is 1508284456. It was assigned to this individual provider in the NPPES registry on March 28, 2014.

Q: What is Michael Blanco's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Michael Blanco was last updated on June 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 28, 2014PECOS EnrolledAccepts Medicare Assignment

92.46/100

CMS Quality Rating

740 COOL SPRINGS BLVD STE 140, FRANKLIN, TN 37067(615) 771-8786 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 6, 2020, Jul 8, 2020, Jun 30, 2020 (3 updates tracked since 2020).

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About Michael Jose Blanco M.d. NPPES

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

MICHAEL JOSE BLANCO M.D. (NPI 1508284456) is an individual gastroenterology provider in Franklin, Tennessee, licensed in Tennessee (60754) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Maury Regional Hospital, and maintains a secondary practice location in Murfreesboro.

NPPES Registry Identity

NPI1508284456

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameMICHAEL JOSE BLANCOCredential: M.D.

Location Address740 COOL SPRINGS BLVD STE 140Franklin, TN 37067-6449

Mailing Address2020 Exeter RdGermantown, TN 38138-3945

Phone(615) 771-8786

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 28, 2014

Last NPPES UpdateJune 23, 20223 updates tracked since enumeration

NPPES CertifiedJune 23, 2022

✔ NPI 1508284456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in TN · 60754

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedHospitalistTaxonomy 208M00000X · License 60754 (TN)

740 COOL SPRINGS BLVD STE 140, Franklin, TN 37067

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Secondary Practice Location 1

Location 11115 Dow St # AMurfreesboro, TN 37130-2487 · Phone (615) 893-3188

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, UnitedHealthcare.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

Michael Jose 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 ID7315376944

PECOS Enrollment IDI20200402003140

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

74 services72 patients

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.

49 services44 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

46 services45 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

43 services29 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

30 services29 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

24 services24 patients

Hospital Affiliations CMS Care Compare

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

Maury Regional Hospital

Acute Care Hospitals · Columbia, TN

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number440073

Location1224 Trotwood AveColumbia, TN 38401 · Maury County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37067 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

92.46/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

90.41

Promoting Interoperability

100

Improvement Activities

Cost

84.45

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Other Providers at the Same Location NPPES 8

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

CAITLIN ELAINE COLLIER MSN, APRN, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)