DANIEL BLAIR DO, FACP
NPI 1730554007
Internal Medicine in Athens, GA

Active since December 11, 2015PECOS EnrolledAccepts Medicare Assignment
70.91/100
CMS Quality Rating
1199 PRINCE AVE, ATHENS, GA 30606(706) 475-5076(706) 475-6676 Get Directions Write a Review

NPPES record last updated: April 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 14, 2024, Jul 11, 2017, Dec 11, 2015 (3 updates tracked since 2015).

About Daniel Blair Do, Facp NPPES

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

DANIEL BLAIR DO, FACP (NPI 1730554007) is an individual internal medicine provider in Athens, Georgia, licensed in Georgia (81656) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS, is affiliated with Piedmont Athens Regional Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1730554007
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDANIEL BLAIRCredential: DO, FACP
Location Address1199 PRINCE AVEAthens, GA 30606-2797
Mailing Address2280 Stonewood Field RdWatkinsville, GA 30677-6154 · (423) 782-8675
Fax(706) 475-6676
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 11, 2015
Last NPPES UpdateApril 14, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2024
NPI 1730554007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 81656
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.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 0102204947 (VA)
1199 PRINCE AVE, Athens, GA 30606

Other Identifiers 1

Other0102204947VA · Virginia Board Of Medicine For General Practitioner

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

Daniel Blair Do, Facp 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 ID4486929965
PECOS Enrollment IDI20190214003043
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
385 services185 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
142 services139 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
132 services128 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.
104 services63 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 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.

70.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality54.01
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers29 claims29 services$17.89 avg. paid by Medicare
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
2 suppliers46 claims46 services$92.83 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers16 claims16 services$28.05 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier14 claims14 services$11.57 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 20

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

Neurological Surgery
1199 PRINCE AVE
ATHENS, GA 30606
Hospitalist
1199 PRINCE AVE
ATHENS, GA 30606
Nurse Anesthetist, Certified Registered
1199 PRINCE AVE
ATHENS, GA 30606
Physician Assistant
1199 PRINCE AVE
ATHENS, GA 30606
Anesthesiology
1199 PRINCE AVE
ATHENS, GA 30606
Anesthesiologist Assistant
1199 PRINCE AVE
ATHENS, GA 30606
Specialist/Technologist, Other (Surgical Assistant)
1199 PRINCE AVE
ATHENS, GA 30606
Internal Medicine (Cardiovascular Disease)
1199 PRINCE AVE
ATHENS, GA 30606

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 Daniel Blair's NPI number?

The NPI number for Daniel Blair is 1730554007. It was assigned to this individual provider in the NPPES registry on December 11, 2015.

Where is Daniel Blair located?

Daniel Blair practices at 1199 Prince Ave, Athens, GA 30606. The listed phone number is (706) 475-5076.

What is Daniel Blair's specialty?

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

Is Daniel Blair enrolled in Medicare?

Yes. Daniel Blair 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 Daniel Blair accept?

Health plans from Alliant Health Plans, Inc. list Daniel Blair 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 Daniel Blair affiliated with any hospitals?

According to CMS data, Daniel Blair is affiliated with Piedmont Athens Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Daniel Blair was last updated on April 14, 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.