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PAUL L BLANCHARD MD
NPI 1659340131
Internal Medicine in Mason, OH

Active since March 16, 2006PECOS Enrolled
4605 DUKE DR STE 220, MASON, OH 45040(513) 510-4406 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Paul L Blanchard Md NPPES

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

PAUL L BLANCHARD MD (NPI 1659340131) is an individual internal medicine provider in Mason, Ohio, licensed in Ohio (35079460) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1659340131
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePAUL L BLANCHARDCredential: MD
Location Address4605 DUKE DR STE 220Mason, OH 45040-1553
Mailing Address4605 Duke Dr Ste 220Mason, OH 45040-1553 · (513) 510-4406 · Fax (513) 672-0486
Phone(513) 510-4406
Sole ProprietorNo
Enumeration DateMarch 16, 2006
Last NPPES UpdateJuly 8, 2024
NPPES CertifiedJuly 8, 2024
✔ NPI 1659340131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35079460
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4605 DUKE DR STE 220, Mason, OH 45040
Open in Google Maps ↗

Secondary Practice Locations 2

Location 17601 Paragon Rd Ste 203Dayton, OH 45459-4082 · Phone (937) 404-5490 · Fax (937) 754-7031
Location 22800 Corporate Exchange Dr Ste 170Columbus, OH 43231-7628 · Phone (614) 441-9300 · Fax (614) 769-6563

Other Identifiers 1

Medicaid2419369OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul L Blanchard Md 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.

Medicare Billing Reassignments

2

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

Hospitalist Medicine Physicians Of Ohio, Professional Corporation
91 mi
Internal Medicine
6001 E BROAD ST
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 776 clinicians in this Medicare group
NPI 1043572290 (614) 234-7535
Hospitalist Medicine Physicians Of Richland County, Ltd
186 mi
Internal Medicine
1320 MERCY DR NW
Canton, OH 44708
  • Reassigned Medicare billing, Ohio enrollment
  • 456 clinicians in this Medicare group
NPI 1639119027 (330) 489-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45040 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 4

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

JODI YEE FNP-BC
Nurse Practitioner (Family)
4605 DUKE DR STE 220
MASON, OH 45040
Warren County (513) 510-4406
CHRISTOPHER JOSEPH THOMAS DO
Internal Medicine
4605 DUKE DR STE 220
MASON, OH 45040
Warren County (440) 397-4111
QUEEN CITY HOSPICE, LLC
Hospice Care, Community Based
4605 DUKE DR STE 220
MASON, OH 45040
Warren County (513) 510-4406
ABIGAIL SCHYMANSKI CNP
Nurse Practitioner
4605 DUKE DR STE 220
MASON, OH 45040
Warren County (513) 460-7134

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 Paul Blanchard's NPI number?

The NPI number for Paul Blanchard is 1659340131. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Paul Blanchard located?

Paul Blanchard practices at 4605 Duke Dr Ste 220, Mason, OH 45040. The listed phone number is (513) 510-4406.

What is Paul Blanchard's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Paul Blanchard enrolled in Medicare?

Yes. Paul Blanchard is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Paul Blanchard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Blanchard reassigns Medicare benefits to 2 organizations: Hospitalist Medicine Physicians Of Ohio, Professional Corporation (Columbus, OH) and Hospitalist Medicine Physicians Of Richland County, Ltd (Canton, OH). 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 Paul Blanchard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Blanchard accept?

Health plans from CareSource list Paul Blanchard 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 Paul Blanchard was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.