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HARRISON DAVIS BLANTON MD
NPI 1689932659
Family Medicine in Caldwell, ID

Active since April 27, 2012PECOS EnrolledAccepts Medicare Assignment
315 E ELM STREET, STE 100, CALDWELL, ID 83605(208) 302-7100(208) 302-7155 Get Directions Write a Review

NPPES record last updated: July 31, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 31, 2019, Nov 10, 2016 (2 updates tracked since 2016).

About Harrison Davis Blanton Md NPPES

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

HARRISON DAVIS BLANTON MD (NPI 1689932659) is an individual family medicine provider in Caldwell, Idaho, licensed in Colorado (DR0053011) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Brody School Of Medicine At East Carolina University (2012).

NPPES Registry Identity

NPI1689932659
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameHARRISON DAVIS BLANTONCredential: MD
Location Address315 E ELM STREET, STE 100Caldwell, ID 83605-4858
Mailing Address3340 E Goldstone WayMeridian, ID 83642-1026 · (208) 302-7100 · Fax (208) 302-7155
Phone(208) 302-7100
Fax(208) 302-7155
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 2012
Enumeration DateApril 27, 2012
Last NPPES UpdateJuly 31, 20192 updates tracked since enumeration
✔ NPI 1689932659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CO · DR0053011✔ Licensed in ID · M-12857
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
315 E ELM STREET, Caldwell, ID 83605
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

Harrison Davis Blanton 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 ID6204078421
PECOS Enrollment IDI20180918002035
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 Reassignment

Medicare enrollment records show Harrison Blanton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Poudre Valley Health Care, Inc
634 mi
Medical Specialty
1025 PENNOCK PL STE 121
Fort Collins, CO 80524
  • Reassigned Medicare billing, Colorado enrollment
  • 162 clinicians in this Medicare group
NPI 1144535444 (970) 495-8980

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 4

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.
59 services49 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
49 services18 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.
38 services37 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83605 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers18 claims19 services$89.17 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 3

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

JEE HUR MD
Pediatrics
315 E ELM STREET, STE 100
CALDWELL, ID 83605
Canyon County (208) 459-7415
MURALI N BATHINA MD
Internal Medicine (Cardiovascular Disease)
315 E ELM STREET, STE 350
CALDWELL, ID 83605
Canyon County (208) 454-6363
JAKEB K SEARLE PA-C
Physician Assistant
315 E ELM STREET, STE 100
CALDWELL, ID 83605
Canyon County (208) 302-7100

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 Harrison Blanton's NPI number?

The NPI number for Harrison Blanton is 1689932659. It was assigned to this individual provider in the NPPES registry on April 27, 2012.

Where is Harrison Blanton located?

Harrison Blanton practices at 315 E Elm Street Ste 100, Caldwell, ID 83605. The listed phone number is (208) 302-7100.

What is Harrison Blanton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Harrison Blanton enrolled in Medicare?

Yes. Harrison Blanton 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 organization bills Medicare for Harrison Blanton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Harrison Blanton reassigns Medicare benefits to Poudre Valley Health Care, Inc (Fort Collins, CO). The 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 Harrison Blanton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Harrison Blanton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Select Health and UnitedHealthcare list Harrison Blanton 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 Harrison Blanton was last updated on July 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.