LAUREL J BLAIR M.D.
NPI 1750510855
Surgery in Vero Beach, FL

Active since July 09, 2009PECOS EnrolledAccepts Medicare Assignment
77.79/100
CMS Quality Rating
1000 36TH ST, VERO BEACH, FL 32960(772) 567-4311 Get Directions Write a Review

NPPES record last updated: September 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2024, Jul 16, 2019, Dec 12, 2017 and 1 more (4 updates tracked since 2016).

About Laurel J Blair M.d. NPPES

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

LAUREL J BLAIR M.D. (NPI 1750510855) is an individual surgery provider in Vero Beach, Florida, licensed in Florida (ME169228) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1750510855
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameLAUREL J BLAIRCredential: M.D.
Location Address1000 36TH STVero Beach, FL 32960-4862
Mailing Address1000 36th StVero Beach, FL 32960-4862 · (772) 567-4311
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 9, 2009
Last NPPES UpdateSeptember 8, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2024
NPI 1750510855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in FL · ME169228 Licensed in PA · MT194435 Licensed in NC · 2013-02433 Licensed in NV · 16517
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1000 36TH ST, Vero Beach, FL 32960

Other Identifiers 5

OtherMT194435PA · Medical License Number
OtherMD443811PA · Pa License
Medicaid1750510855NC
Other2013-02433NC · Nc License
MedicaidNC2131SC

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

Laurel J Blair 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 ID4284852831
PECOS Enrollment IDI20240917002405
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 7

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 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.
63 services51 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
34 services33 patients
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.
30 services24 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.
23 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Cleveland Clinic Indian River Hospital

Acute Care Hospitals · Vero Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100105
Location1000 36th StVero Beach, FL 32960 · Indian River County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32960 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
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.

77.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.95
Improvement Activities40
Cost37.99

Reported Quality Measures

Advance Care Plan
100%315 patients5/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
39%46 patients2/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
81%242 patients3/55-star benchmark: 100%
e-Prescribing
99%100 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
32%117 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
24%755 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 89 patients
Patients screened: 99% · 89 patients
96%49 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
98%456 patients4/55-star benchmark: 100%
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.

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.

Physician Assistant
1000 36TH ST
VERO BEACH, FL 32960
Psychiatry & Neurology (Vascular Neurology)
1000 36TH ST
VERO BEACH, FL 32960
Physician Assistant (Medical)
1000 36TH ST
VERO BEACH, FL 32960
Radiology (Vascular & Interventional Radiology)
1000 36TH ST
VERO BEACH, FL 32960
Nurse Practitioner (Family)
1000 36TH ST
VERO BEACH, FL 32960
Dietitian, Registered
1000 36TH ST
VERO BEACH, FL 32960
Physician Assistant
1000 36TH ST
VERO BEACH, FL 32960
Physician Assistant (Surgical)
1000 36TH ST
VERO BEACH, FL 32960

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 Laurel Blair's NPI number?

The NPI number for Laurel Blair is 1750510855. It was assigned to this individual provider in the NPPES registry on July 9, 2009.

Where is Laurel Blair located?

Laurel Blair practices at 1000 36th St, Vero Beach, FL 32960. The listed phone number is (772) 567-4311.

What is Laurel Blair's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Laurel Blair enrolled in Medicare?

Yes. Laurel 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 Laurel Blair accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Laurel 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 Laurel Blair affiliated with any hospitals?

According to CMS data, Laurel Blair is affiliated with Cleveland Clinic Martin North Hospital and Cleveland Clinic Indian River Hospital.

When was this NPI record last updated?

The NPPES record for Laurel Blair was last updated on September 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.