DR. JOHN C BLANKENSHIP
NPI 1730160177
Specialist in Athens, GA

Active since November 11, 2005PECOS EnrolledAccepts Medicare Assignment
97.15/100
CMS Quality Rating
195 KING AVE., ATHENS, GA 30606(706) 543-6261(706) 543-7060 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John C Blankenship NPPES

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

DR. JOHN C BLANKENSHIP (NPI 1730160177) is an individual specialist in Athens, Georgia, licensed in Georgia (049529) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1730160177
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JOHN C BLANKENSHIP
Location Address195 KING AVE.Athens, GA 30606
Mailing Address195 King Ave.Athens, GA 30606 · (706) 543-6261 · Fax (706) 543-7060
Fax(706) 543-7060
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateNovember 11, 2005
Last NPPES UpdateNovember 5, 2020
NPPES CertifiedNovember 5, 2020
NPI 1730160177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in GA · 049529
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
195 KING AVE., Athens, GA 30606

Other Identifiers 1

Medicaid00901931AGA

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. John C Blankenship 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 ID8325034911
PECOS Enrollment IDI20100928001641
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 54

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, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
4,500 services23 patients
Ketone bodies analysis, quantitative 82010
Ketone bodies analysis, quantitative, is a blood test that measures the level of ketones in your body. High levels can indicate diabetes, starvation, or other conditions. This test helps doctors monitor your body's energy use and can guide treatment plans.
1,975 services1,259 patients
Glucose (sugar) level on body fluid 82945
The glucose level in body fluid test measures the amount of sugar in your body's fluids. This test is crucial in managing conditions like diabetes. High or low levels could indicate a health issue that needs attention.
1,975 services1,259 patients
Chemical analysis using spectrophotometry (light) 84311
Spectrophotometry is a scientific method used to measure how much a chemical substance absorbs light. This helps in identifying and determining the concentration of that substance in a sample. It's non-invasive, accurate, and used in various medical tests.
1,975 services1,259 patients
Urinalysis for bacteria 81007
Urinalysis for bacteria is a test that checks your urine for the presence of bacteria. The test involves collecting a urine sample in a sterile container. The sample is then examined in a lab to identify any bacteria. This helps in diagnosing infections in the urinary system.
1,965 services1,255 patients
Urine microalbumin (protein) level 82043
The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.
1,942 services1,244 patients

Hospital Affiliations CMS Care Compare 5

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

St Mary's Hospital

Acute Care Hospitals · Athens, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110006
Location1230 Baxter StreetAthens, GA 30606 · Clarke County
Emergency services Birthing friendly

Ty Cobb Regional Medical Center, LLC

Acute Care Hospitals · Lavonia, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110027
Location367 Clear Creek ParkwayLavonia, GA 30553 · Franklin County
Emergency services Birthing friendly

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110074
Location1199 Prince AvenueAthens, GA 30606 · Clarke County
Birthing friendly

St. Mary's Good Samaritan Hospital

Critical Access Hospitals · Greensboro, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number111329
Location5401 Lake Oconee ParkwayGreensboro, GA 30642 · Greene County
Emergency services

Elbert Memorial Hospital

Critical Access Hospitals · Elberton, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111337
Location4 Medical DriveElberton, GA 30635 · Elbert County

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.

97.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.67
Improvement Activities40
Cost96.28

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
87%2,385 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
43%1,340 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
89%27 patients4/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
56%271 patients3/55-star benchmark: 100%
Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older with a diagnosis of urinary incontinence with a documented plan of care for urinary incontinence at least once within 12 months
73%64 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
3 suppliers12 claims105 services$2.15 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers47 claims10,744 services$1.71 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers35 claims4,959 services$6.01 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
5 suppliers19 claims89 services$6.93 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
2 suppliers22 claims112 services$5.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 John Blankenship's NPI number?

The NPI number for John Blankenship is 1730160177. It was assigned to this individual provider in the NPPES registry on November 11, 2005.

Where is John Blankenship located?

John Blankenship practices at 195 King Ave., Athens, GA 30606. The listed phone number is (706) 543-6261.

What is John Blankenship's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is John Blankenship enrolled in Medicare?

Yes. John Blankenship 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.

Is John Blankenship affiliated with any hospitals?

According to CMS data, John Blankenship is affiliated with St Mary's Hospital, Ty Cobb Regional Medical Center, LLC, Piedmont Athens Regional Medical Center, St. Mary's Good Samaritan Hospital and Elbert Memorial Hospital.

When was this NPI record last updated?

The NPPES record for John Blankenship was last updated on November 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.