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DR. RICHARD H BLANCK M.D.
NPI 1548247125
Psychiatry & Neurology - Neurology in Lake Success, NY

Active since December 27, 2005PECOS EnrolledAccepts Medicare Assignment
95/100
CMS Quality Rating
1991 MARCUS AVENUE, SUITE 110, LAKE SUCCESS, NY 11042(516) 466-4700(516) 466-4810 Get Directions Write a Review

NPPES record last updated: March 4, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Richard H Blanck M.d. NPPES

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

DR. RICHARD H BLANCK M.D. (NPI 1548247125) is an individual neurology provider in Lake Success, New York, licensed in New York (120724-1) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (1973).

NPPES Registry Identity

NPI1548247125
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. RICHARD H BLANCKCredential: M.D.
Location Address1991 MARCUS AVENUE, SUITE 110Lake Success, NY 11042-2057
Mailing Address1991 Marcus Avenue, Suite 110Lake Success, NY 11042-2057 · (516) 466-4700 · Fax (516) 466-4810
Phone(516) 466-4700
Fax(516) 466-4810
Sole ProprietorNo
Medical School CMSOtherGraduated 1973
Enumeration DateDecember 27, 2005
Last NPPES UpdateMarch 4, 2009
✔ NPI 1548247125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NY · 120724-1
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedSpecialistTaxonomy 174400000X · License 120724 (NY)
1991 MARCUS AVENUE, Lake Success, NY 11042
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Other Identifiers 20

Other112434927NY · Anthem Health Network
Other887956NY · Aetna Hmo
Other112434927NY · Select Pro
Other112434927NY · Multiplan
Other112434927NY · Tpa/benesight
OtherAS1292NY · Oxford Health Plan
Medicare ID-Type Unspecified350431NY · Medicare Provider Number
Other0266413002NY · Cigna Healthcare
Other112434927NY · Horizon Healthcare
Other112434927NY · One Health Plan
Other112434927NY · Phcs
Other173484NY · Empire Plan/united Health
OtherOC2810NY · Phs/acs
Other112434927NY · First Health
Other112434927NY · Beech Street Corporation
Medicare UPINB13600
Other0350431NY · Empire Healthchoice
Other4394255NY · Aetna Mc/ppo/epo
Medicare UPINB13600NY
Medicare OSCAR/certification350431

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 H Blanck 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 ID8325182181
PECOS Enrollment IDI20100303000776
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 8

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
934 services459 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
460 services459 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.
108 services108 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
41 services41 patients
Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139
This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.
38 services38 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
35 services35 patients

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.11
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

DAVID PODWALL M.D.
Psychiatry & Neurology (Neurology)
1991 MARCUS AVENUE, SUITE 110
LAKE SUCCESS, NY 11042
Nassau County (516) 466-4700
DR. ANTHONY S COHEN M.D.
Psychiatry & Neurology (Neurology)
1991 MARCUS AVENUE, SUITE 110
LAKE SUCCESS, NY 11042
Nassau County (516) 466-4700
MRS. NAAMA POLLACK M.D
Pediatrics (Pediatric Endocrinology)
1991 MARCUS AVENUE, SUITE M100
NEW HYDE PARK, NY 11042
Nassau County (516) 472-3750
DR. DWIGHT J ROSENSTEIN M.D.
Psychiatry & Neurology (Neurology)
1991 MARCUS AVENUE, SUITE 110
LAKE SUCCESS, NY 11042
Nassau County (516) 466-4700
DR. ALAN MECHANIC M.D.
Neurological Surgery
1991 MARCUS AVENUE, LAKE SUCCESS
NEW YORK, NY 11042
Nassau County (516) 442-2250
DR. DENIS A OSTROVSKIY M.D.
Psychiatry & Neurology (Neurology)
1991 MARCUS AVENUE, SUITE 110
LAKE SUCCESS, NY 11042
Nassau County (516) 466-4700
NEUROLOGICAL ASSOCIATES OF LONG ISLAND, PC
Psychiatry & Neurology (Neurology)
1991 MARCUS AVENUE, SUITE 110
LAKE SUCCESS, NY 11042
Nassau County (516) 466-4700
SARAH MCELROY LMSW
Social Worker
1991 MARCUS AVENUE
LAKE SUCCESS, NY 11042
Nassau County (718) 484-5000

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 Blanck's NPI number?

The NPI number for Richard Blanck is 1548247125. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is Richard Blanck located?

Richard Blanck practices at 1991 Marcus Avenue Suite 110, Lake Success, NY 11042. The listed phone number is (516) 466-4700.

What is Richard Blanck's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Richard Blanck enrolled in Medicare?

Yes. Richard Blanck 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.

Is Richard Blanck affiliated with any hospitals?

According to CMS data, Richard Blanck is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Richard Blanck was last updated on March 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.