BLAINE E. CRIBBS M.D.
NPI 1609821214
Ophthalmology in Atlanta, GA

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1365 CLIFTON RD NE, ATLANTA, GA 30322(404) 778-7402(404) 778-4819 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Blaine E. Cribbs M.d. NPPES

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

BLAINE E. CRIBBS M.D. (NPI 1609821214) is an individual ophthalmology provider in Atlanta, Georgia, licensed in Georgia (054805) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Un Of California, Irvine, College Of Medicine (2002).

NPPES Registry Identity

NPI1609821214
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameBLAINE E. CRIBBSCredential: M.D.
Location Address1365 CLIFTON RD NEAtlanta, GA 30322-1013
Mailing Address1365 Clifton Rd NeAtlanta, GA 30322-1013 · (404) 778-7402 · Fax (404) 778-4819
Fax(404) 778-4819
Sole ProprietorNo
Medical School CMSUn Of California, Irvine, College Of MedicineGraduated 2002
Enumeration DateMay 23, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1609821214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in GA · 054805
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.
1365 CLIFTON RD NE, Atlanta, GA 30322

Accepted 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

Blaine E. Cribbs 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 ID8820001563
PECOS Enrollment IDI20060724000196
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

2

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

Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group

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 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.

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.
611 services48 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.
475 services241 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.
462 services92 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.
356 services211 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.
221 services45 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.
41 services41 patients

Hospital Affiliations CMS Care Compare

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant (Medical)
1365 CLIFTON RD NE, SUITE A 4325
ATLANTA, GA 30322
Anesthesiologist Assistant
1365 CLIFTON RD NE
ATLANTA, GA 30322
Physician Assistant
1365 CLIFTON RD NE
ATLANTA, GA 30322
Pharmacist (Ambulatory Care)
1365 CLIFTON RD NE
ATLANTA, GA 30322
Dermatology
1365 CLIFTON RD NE, DEPARTMENT OF DERMATOLOGY
ATLANTA, GA 30322
Anesthesiologist Assistant
1365 CLIFTON RD NE
ATLANTA, GA 30322
Radiology (Diagnostic Radiology)
1365 CLIFTON RD NE, BREAST IMAGING CENTER, WINSHIP C
ATLANTA, GA 30322
Nurse Practitioner (Acute Care)
1365 CLIFTON RD NE
ATLANTA, GA 30322

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 Blaine Cribbs's NPI number?

The NPI number for Blaine Cribbs is 1609821214. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Blaine Cribbs located?

Blaine Cribbs practices at 1365 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 778-7402.

What is Blaine Cribbs's specialty?

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

Is Blaine Cribbs enrolled in Medicare?

Yes. Blaine Cribbs 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 Blaine Cribbs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blaine Cribbs reassigns Medicare benefits to 2 organizations: The Emory Clinic Inc (Atlanta, GA) and Emory Medical Care Foundation Inc (Atlanta, GA). 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 Blaine Cribbs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Blaine Cribbs accept?

Health plans from Ambetter Health and Oscar Health list Blaine Cribbs 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 Blaine Cribbs affiliated with any hospitals?

According to CMS data, Blaine Cribbs is affiliated with Emory University Hospital.

When was this NPI record last updated?

The NPPES record for Blaine Cribbs was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.