DR. DAVID L BLANDFORD MD
NPI 1558367805
Ophthalmology in Lexington, KY

Q: What is David Blandford's NPI number?

The NPI number for David Blandford is 1558367805. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Q: What is David Blandford'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 David Blandford was last updated on January 21, 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 June 22, 2005PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

601 PERIMETER DR, STE 200, LEXINGTON, KY 40517(859) 278-9393(859) 278-0923 Get Directions Write a Review

NPPES record last updated: January 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. David L Blandford Md NPPES

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

DR. DAVID L BLANDFORD MD (NPI 1558367805) is an individual ophthalmology provider in Lexington, Kentucky, licensed in Kentucky (28077) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Meadowview Regional Medical Center, and is a graduate of University Of Kentucky College Of Medicine (1989).

NPPES Registry Identity

NPI1558367805

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. DAVID L BLANDFORDCredential: MD

Location Address601 PERIMETER DR, STE 200Lexington, KY 40517-4121

Mailing Address601 Perimeter Dr, Ste 200Lexington, KY 40517-4121 · (859) 278-9393 · Fax (859) 278-0923

Phone(859) 278-9393

Fax(859) 278-0923

Sole ProprietorNo

Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1989

Enumeration DateJune 22, 2005

Last NPPES UpdateJanuary 21, 2016

✔ NPI 1558367805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in KY · 28077

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.

601 PERIMETER DR, Lexington, KY 40517

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Other Identifiers 7

Medicare UPINF13427KY

Medicare PIN0986502KY

Medicaid64280779KY

Medicare PIN0268611KY

Medicare PIN180032466KY

Medicare PIN0214017KY

Medicare PIN0391702KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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. David L Blandford 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 ID2163442419

PECOS Enrollment IDI20051201000026

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 17

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 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.

677 services642 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.

303 services225 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

233 services145 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

196 services132 patients

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.

180 services144 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.

113 services113 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.

112 services112 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

59 services57 patients

Ultrasound scan to determine eye length and lens power 76519

An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.

58 services44 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

54 services49 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

47 services47 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

36 services34 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

32 services31 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

24 services21 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

15 services15 patients

Exam of visual field with intermediate testing 92082

An exam of the visual field with intermediate testing is a procedure that checks your peripheral (side) vision. It helps to identify blind spots which could be a sign of eye diseases. This non-invasive test is painless and quick.

12 services11 patients

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.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Meadowview Regional Medical Center

Acute Care Hospitals · Maysville, KY

5/5 CMS rating

OwnershipProprietary

CMS Certification Number180019

Location989 Medical Park DriveMaysville, KY 41056 · Mason County

Emergency services Birthing friendly

Harrison Memorial Hospital

Acute Care Hospitals · Cynthiana, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180079

Location1210 Ky Hwy 36 ECynthiana, KY 41031 · Harrison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40517 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

75/100

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

Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020

Other-Vision, Hearing, and Speech Services · category OC000N

8 suppliers25 claims25 services$57.03 avg. paid by Medicare

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203

Other-Vision, Hearing, and Speech Services · category OC000N

6 suppliers13 claims24 services$31.44 avg. paid by Medicare

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303

Other-Vision, Hearing, and Speech Services · category OC000N

2 suppliers11 claims18 services$57.63 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 14

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

MR. AARON MACDONALD A.T.C.

Specialist

601 PERIMETER DR, SUITE 200
LEXINGTON, KY 40517

Fayette County (859) 323-5533

KELLY EVERSOLE DPT

Specialist

601 PERIMETER DR, SUITE 100
LEXINGTON, KY 40517

Fayette County (859) 257-4576

KENTUCKY SPORTS MEDICINE CLINIC

Orthopaedic Surgery

601 PERIMETER DR, SUITE 200
LEXINGTON, KY 40517

Fayette County (859) 268-0268

BRETT LEAST MS, ATC

Specialist/Technologist (Athletic Trainer)

601 PERIMETER DR
LEXINGTON, KY 40517

Fayette County (859) 323-2610

LARRY ROBERT ULLERY ATC

Specialist/Technologist (Athletic Trainer)

601 PERIMETER DR, SUITE 200
LEXINGTON, KY 40517

Fayette County (859) 323-5533

BRYANT C EVANS OD

Optometrist

601 PERIMETER DR, STE 200
LEXINGTON, KY 40517

Fayette County (859) 278-9393

DR. PAUL M KARPECKI OD

Optometrist

601 PERIMETER DR, SUITE 200
LEXINGTON, KY 40517

Fayette County (859) 278-9393

KENTUCKY INSTITUTE FOR EYE HEALTH & SURGERY

Ophthalmology

601 PERIMETER DR, STE 200
LEXINGTON, KY 40517

Fayette County (859) 278-9393

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 David Blandford's NPI number?

The NPI number for David Blandford is 1558367805. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is David Blandford located?

David Blandford practices at 601 Perimeter Dr Ste 200, Lexington, KY 40517. The listed phone number is (859) 278-9393.

What is David Blandford's specialty?

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

Is David Blandford enrolled in Medicare?

Yes. David Blandford 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 David Blandford accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, CareSource and Oscar Health Insurance and 1 other insurer list David Blandford 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 David Blandford affiliated with any hospitals?

According to CMS data, David Blandford is affiliated with Meadowview Regional Medical Center and Harrison Memorial Hospital.

When was this NPI record last updated?

The NPPES record for David Blandford was last updated on January 21, 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.