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SUSAN KELLY BLUE M.D.
NPI 1578540431
Specialist in Fort Worth, TX

Active since December 30, 2005PECOS Enrolled
0/100
CMS Quality Rating
1001 WASHINGTON AVE, FORT WORTH, TX 76104(817) 334-7922(817) 870-2144 Get Directions Write a Review

NPPES record last updated: May 11, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan Kelly Blue M.d. NPPES

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

SUSAN KELLY BLUE M.D. (NPI 1578540431) is an individual specialist in Fort Worth, Texas, licensed in Texas (E1506) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578540431
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameSUSAN KELLY BLUECredential: M.D.
Location Address1001 WASHINGTON AVEFort Worth, TX 76104-3049
Mailing Address1001 Washington AveFort Worth, TX 76104-3049 · (817) 334-7922 · Fax (817) 870-2144
Phone(817) 334-7922
Fax(817) 870-2144
Sole ProprietorYes
Enumeration DateDecember 30, 2005
Last NPPES UpdateMay 11, 2011
✔ NPI 1578540431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · E1506
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1001 WASHINGTON AVE, Fort Worth, TX 76104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Kelly Blue M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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 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.
229 services157 patients
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.
96 services89 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.
55 services47 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.
27 services27 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.
12 services12 patients

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 2

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

MR. NORRIS DUANE PURCELL MD
Psychiatry & Neurology (Psychiatry)
1001 WASHINGTON AVE
FORT WORTH, TX 76104
Tarrant County (817) 870-4935
NEUROLOGICAL SERVICES OF TEXAS, P.A.
Specialist
1001 WASHINGTON AVE
FORT WORTH, TX 76104
Tarrant County (817) 335-3510

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 Susan Blue's NPI number?

The NPI number for Susan Blue is 1578540431. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Where is Susan Blue located?

Susan Blue practices at 1001 Washington Ave, Fort Worth, TX 76104. The listed phone number is (817) 334-7922.

What is Susan Blue's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Susan Blue enrolled in Medicare?

Yes. Susan Blue is registered in the Medicare PECOS enrollment system.

What insurance does Susan Blue accept?

Health plans from AmeriHealth Caritas Next list Susan Blue 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.

When was this NPI record last updated?

The NPPES record for Susan Blue was last updated on May 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.