RICHARD A BLATNY JR. MD
NPI 1699763003
Family Medicine in Fairbury, NE

Active since October 10, 2005PECOS EnrolledAccepts Medicare Assignment
94.57/100
CMS Quality Rating
825 22ND ST, FAIRBURY, NE 68352(402) 729-3361 Get Directions Write a Review

NPPES record last updated: August 5, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard A Blatny Jr. Md NPPES

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

RICHARD A BLATNY JR. MD (NPI 1699763003) is an individual family medicine provider in Fairbury, Nebraska, licensed in Nebraska (21843) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Thayer County Health Services, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1699763003
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRICHARD A BLATNY JR.Credential: MD
Location Address825 22ND STFairbury, NE 68352-1221
Mailing Address825 22nd StFairbury, NE 68352-1221 · (402) 729-3361
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateOctober 10, 2005
Last NPPES UpdateAugust 5, 2016
NPI 1699763003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NE · 21843
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.
825 22ND ST, Fairbury, NE 68352

Other Identifiers 2

Medicare UPINH15130
Medicaid100397810AKS

Accepted 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

Richard A Blatny Jr. 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 ID3577657014
PECOS Enrollment IDI20070914000438
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 3

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
24 services13 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.
22 services13 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
16 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Thayer County Health Services

Critical Access Hospitals · Hebron, NE
OwnershipGovernment - Local
CMS Certification Number281304
Location120 Park AveHebron, NE 68370 · Thayer County
Emergency services

Brodstone Healthcare

Critical Access Hospitals · Superior, NE
OwnershipProprietary
CMS Certification Number281315
LocationP O Box 187, 520 East 10th StSuperior, NE 68978 · Nuckolls County
Emergency services Birthing friendly

Jefferson Community Health & Life

Critical Access Hospitals · Fairbury, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281319
LocationP O Box 277, 2200 H StFairbury, NE 68352 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68352 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

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.

94.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability94.37
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers11 claims18 services$6.61 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers13 claims13 services$41.84 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers14 claims14 services$74.65 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers12 claims12 services$25.16 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers18 claims108 services$2.68 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$19.80 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 6

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

Obstetrics & Gynecology
825 22ND ST
FAIRBURY, NE 68352
Family Medicine
825 22ND ST
FAIRBURY, NE 68352
Physician Assistant (Medical)
825 22ND ST
FAIRBURY, NE 68352
Family Medicine
825 22ND ST
FAIRBURY, NE 68352
Physician Assistant (Medical)
825 22ND ST
FAIRBURY, NE 68352
Family Medicine
825 22ND ST
FAIRBURY, NE 68352

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 Richard Blatny's NPI number?

The NPI number for Richard Blatny is 1699763003. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Where is Richard Blatny located?

Richard Blatny practices at 825 22nd St, Fairbury, NE 68352. The listed phone number is (402) 729-3361.

What is Richard Blatny's specialty?

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

Is Richard Blatny enrolled in Medicare?

Yes. Richard Blatny 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 Richard Blatny accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Richard Blatny 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 Richard Blatny affiliated with any hospitals?

According to CMS data, Richard Blatny is affiliated with Thayer County Health Services, Brodstone Healthcare and Jefferson Community Health & Life.

When was this NPI record last updated?

The NPPES record for Richard Blatny was last updated on August 5, 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.