ROBERT I BLEM M.D.
NPI 1528026838
Ophthalmology in Lafayette, LA

Q: What is Robert Blem's NPI number?

The NPI number for Robert Blem is 1528026838. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Q: What is Robert Blem's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Blem was last updated on September 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1000 W PINHOOK RD, SUITE 301, LAFAYETTE, LA 70503(337) 264-1011(337) 264-1211 Get Directions Write a Review

NPPES record last updated: September 22, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Robert I Blem M.d. NPPES

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

ROBERT I BLEM M.D. (NPI 1528026838) is an individual ophthalmology provider in Lafayette, Louisiana, licensed in Louisiana (14948R) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Ochsner Lafayette General Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1528026838

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameROBERT I BLEMCredential: M.D.

Location Address1000 W PINHOOK RD, SUITE 301Lafayette, LA 70503-2460

Mailing Address1000 W Pinhook Rd, Suite 301Lafayette, LA 70503-2460 · (337) 264-1011 · Fax (337) 264-1211

Phone(337) 264-1011

Fax(337) 264-1211

Sole ProprietorYes

Medical School CMSOtherGraduated 1997

Enumeration DateMay 3, 2006

Last NPPES UpdateSeptember 22, 2016

✔ NPI 1528026838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in LA · 14948R

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1000 W PINHOOK RD, Lafayette, LA 70503

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Other Identifiers 3

Medicare ID-Type Unspecified4F103LA

Medicare UPINH66599LA

Medicaid1162779LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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

Robert I Blem 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 ID7517923782

PECOS Enrollment IDI20041209000089

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

Medicare enrollment records show Robert Blem reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Louisiana Retina Consultants, LLC

Same address

Ophthalmology

1000 W PINHOOK RD STE 301
Lafayette, LA 70503

Reassigned Medicare billing, Louisiana enrollment
2 clinicians in this Medicare group

NPI 1366400889 (337) 264-1011

Lsuhn Billing LLC

2.1 mi

Multi-Specialty

2390 W CONGRESS ST
Lafayette, LA 70506

Reassigned Medicare billing, Louisiana enrollment
548 clinicians in this Medicare group

NPI 1992975775 (877) 988-1890

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 18

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.

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

2,112 services1,178 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

1,731 services899 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

1,178 services206 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

658 services242 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

336 services251 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.

212 services212 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

164 services164 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

73 services72 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

46 services41 patients

Injection, bevacizumab, 10 mg J9035

Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.

38 services23 patients

Removal of eye fluid (vitreous) between lens and retina 67036

This procedure, known as a vitrectomy, involves removing some or all of the vitreous humor, the clear gel-like substance in the eye. It's done to treat various eye conditions, like retinal detachment or macular hole. The aim is to improve or stabilize vision. It's performed under local or general anesthesia.

31 services29 patients

Destruction of leaking blood vessels of retina using laser 67228

This procedure involves using a laser to treat leaking blood vessels in the retina, the part of the eye responsible for vision. The laser seals off these vessels, preventing further leakage and helping to preserve sight.

29 services21 patients

Photocoagulation treatment to prevent detachment of retina 67145

Photocoagulation is a procedure used to treat retinal disorders. A special laser is directed at the retina to create small burns. These burns form scar tissue which helps to secure the retina to the eye's wall, preventing detachment and preserving vision.

28 services28 patients

Destruction of growth of retina using a laser 67210

This procedure involves using a precise laser to target and remove abnormal growths on the retina, the thin layer at the back of the eye. It's a safe and effective way to protect your vision and prevent further eye damage.

27 services25 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

23 services23 patients

Removal of membrane of retina 67041

Removal of the retina's membrane is a surgical procedure aimed at treating eye conditions affecting the retina's function. It involves a delicate operation to eliminate scar tissue or membranes causing vision problems. The procedure can help improve or stabilize vision.

18 services18 patients

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

15 services15 patients

Complex repair of detached retina and drainage of eye fluid between lens and retina 67113

This procedure involves reattaching your detached retina, a vital layer at the back of your eye. Simultaneously, excess fluid between your lens and retina is drained. This helps restore vision and prevent further eye damage.

14 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Ochsner Lafayette General Medical Center

Acute Care Hospitals · Lafayette, LA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190002

Location1214 Coolidge AvenueLafayette, LA 70503 · Lafayette County

Emergency services Birthing friendly

Ochsner University Hospital And Clinics

Acute Care Hospitals · Lafayette, LA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190006

Location2390 West CongressLafayette, LA 70506 · Lafayette County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70503 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

$67.06 typical visit price

range $16.64 – $133.62

Typical copayment $16.76 (range $4.16 – $33.40)

Most-billed visit code 99213

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

Individually scored

Quality

100

Improvement Activities

Reported Quality Measures

Adult Primary Rhegmatogenous Retinal Detachment Surgery: No Return to the Operating Room Within 90 Days of Surgery

96%24 patients4/55-star benchmark: 100%

Adult Primary Rhegmatogenous Retinal Detachment Surgery: Visual Acuity Improvement Within 90 Days of Surgery

70%20 patients3/55-star benchmark: 99%

Diabetes: Eye Exam

100%649 patients5/55-star benchmark: 100%

Diabetic Macular Edema - Loss of Visual Acuity

98%84 patients

Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care

92%718 patients4/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

96%5,465 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

100%1,847 patients5/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 100% · 1,372 patients

Patients screened: 100% · 1,372 patients

98%98 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,945 patients

Patients totalRate: 0% · 1,945 patients

0%1,945 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.

SAMUEL HENDERSON SHUFFLER MD

Specialist

1000 W PINHOOK RD, SUITE 304
LAFAYETTE, LA 70503

Lafayette Parish (337) 289-9155

DR. TIA CATHERINE CASTILLE PHD

Audiologist

1000 W PINHOOK RD, SUITE 201
LAFAYETTE, LA 70503

Lafayette Parish (337) 237-0650

DR. MEAGAN CHATELAIN MCCLURE AU.D.

Audiologist-Hearing Aid Fitter

1000 W PINHOOK RD, 201 A
LAFAYETTE, LA 70503

Lafayette Parish (337) 237-0716

MRS. LAUREN BARRY NAQUIN NP-C, APRN, MSN

Nurse Practitioner (Adult Health)

1000 W PINHOOK RD, SUITE 204
LAFAYETTE, LA 70503

Lafayette Parish (337) 233-9900

LAFAYETTE HEALTH VENTURES INC

Orthopaedic Surgery

1000 W PINHOOK RD, SUITE 305
LAFAYETTE, LA 70503

Lafayette Parish (337) 235-1600

DR. WILLIAM BRADLEY ROTH MD

Urology

1000 W PINHOOK RD, SUITE 304
LAFAYETTE, LA 70503

Lafayette Parish (337) 289-9155

DR. JEFFREY FREDERICK RAU M.D.

Surgery (Plastic and Reconstructive Surgery)

1000 W PINHOOK RD, SUITE 310
LAFAYETTE, LA 70503

Lafayette Parish (337) 233-9900

DR. JEFFREY J JOSEPH MD

Otolaryngology

1000 W PINHOOK RD, STE 201
LAFAYETTE, LA 70503

Lafayette Parish (337) 237-0650

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 Robert Blem's NPI number?

The NPI number for Robert Blem is 1528026838. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Robert Blem located?

Robert Blem practices at 1000 W Pinhook Rd Suite 301, Lafayette, LA 70503. The listed phone number is (337) 264-1011.

What is Robert Blem's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Robert Blem enrolled in Medicare?

Yes. Robert Blem 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 Robert Blem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Blem reassigns Medicare benefits to 2 organizations: Louisiana Retina Consultants, LLC (Lafayette, LA) and Lsuhn Billing LLC (Lafayette, LA). 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 Robert Blem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Blem accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Robert Blem 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 Robert Blem affiliated with any hospitals?

According to CMS data, Robert Blem is affiliated with Ochsner Lafayette General Medical Center and Ochsner University Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Robert Blem was last updated on September 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.