DR. RICHARD E BLATT M.D.
NPI 1699951871
Internal Medicine in Gainesville, GA

Active since January 17, 2008PECOS EnrolledAccepts Medicare Assignment
82.77/100
CMS Quality Rating
1240 JESSE JEWELL PKWY SE, SUITE 555, GAINESVILLE, GA 30501(770) 536-9864 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Richard E Blatt M.d. NPPES

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

DR. RICHARD E BLATT M.D. (NPI 1699951871) is an individual internal medicine provider in Gainesville, Georgia, licensed in Georgia (066992) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Medical College Of Georgia School Of Medicine (2007).

NPPES Registry Identity

NPI1699951871
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RICHARD E BLATTCredential: M.D.
Location Address1240 JESSE JEWELL PKWY SE, SUITE 555Gainesville, GA 30501-3862
Mailing Address1240 Jesse Jewell Pkwy Se, Suite 555Gainesville, GA 30501-3862 · (770) 536-9864
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2007
Enumeration DateJanuary 17, 2008
Last NPPES UpdateMarch 10, 2021
NPPES CertifiedMarch 10, 2021
NPI 1699951871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 066992
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.

1240 JESSE JEWELL PKWY SE, Gainesville, GA 30501

Other Identifiers 1

Other12322757GA · Caqh

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

Dr. Richard E Blatt 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 ID3678740230
PECOS Enrollment IDI20120123000300
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 65

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, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
3,060 services35 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
1,300 services13 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
1,147 services388 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.
1,063 services388 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
558 services352 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
444 services335 patients

Hospital Affiliations CMS Care Compare 4

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110252
Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

82.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.98
Promoting Interoperability94
Improvement Activities40
Cost77.6

Referred Medical Equipment & Supplies CMS DME claims 9

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
16 suppliers39 claims84 services$6.29 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers12 claims18 services$1.01 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers12 claims12 services$40.90 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers15 claims85 services$2.58 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers17 claims17 services$56.86 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
1 supplier12 claims12 services$17.64 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 19

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

Internal Medicine
1240 JESSE JEWELL PKWY SE, STE 500
GAINESVILLE, GA 30501
Internal Medicine
1240 JESSE JEWELL PKWY SE, STE 500
GAINESVILLE, GA 30501
Internal Medicine
1240 JESSE JEWELL PKWY SE, STE 500
GAINESVILLE, GA 30501
Internal Medicine (Pulmonary Disease)
1240 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Specialist
1240 JESSE JEWELL PKWY SE, STE 500
GAINESVILLE, GA 30501
Internal Medicine
1240 JESSE JEWELL PKWY SE, STE 500
GAINESVILLE, GA 30501
Physician Assistant
1240 JESSE JEWELL PKWY SE, STE 500
GAINESVILLE, GA 30501
Dietitian, Registered
1240 JESSE JEWELL PKWY SE, SUITE 500
GAINESVILLE, GA 30501

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 Blatt's NPI number?

The NPI number for Richard Blatt is 1699951871. It was assigned to this individual provider in the NPPES registry on January 17, 2008.

Where is Richard Blatt located?

Richard Blatt practices at 1240 Jesse Jewell Pkwy SE Suite 555, Gainesville, GA 30501. The listed phone number is (770) 536-9864.

What is Richard Blatt's specialty?

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

Is Richard Blatt enrolled in Medicare?

Yes. Richard Blatt 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 Blatt accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Richard Blatt 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 Blatt affiliated with any hospitals?

According to CMS data, Richard Blatt is affiliated with Northside Hospital Forsyth, Northeast Georgia Medical Center, Inc, Northside Hospital Gwinnett and Northside Hospital Duluth.

When was this NPI record last updated?

The NPPES record for Richard Blatt was last updated on March 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.