NATHAN BLANTON D.P.M.
NPI 1760836506
Podiatrist - Foot & Ankle Surgery in Cincinnati, OH

Active since April 18, 2016PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
4357 FERGUSON DR, CINCINNATI, OH 45245(513) 474-4450 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2023, Aug 19, 2021, Jul 22, 2021 and 1 more (4 updates tracked since 2019).

About Nathan Blanton D.p.m. NPPES

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

NATHAN BLANTON D.P.M. (NPI 1760836506) is an individual foot & ankle surgery provider in Cincinnati, Ohio, licensed in Ohio (36.003923) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Mccullough-hyde Memorial Hospital, and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1760836506
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameNATHAN BLANTONCredential: D.P.M.
Location Address4357 FERGUSON DRCincinnati, OH 45245-1760
Mailing Address4357 Ferguson Dr, Suite 150Cincinnati, OH 45245-1760 · (513) 474-4450
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 18, 2016
Last NPPES UpdateJune 20, 20234 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
NPI 1760836506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in OH · 36.003923
Also ListedPodiatristTaxonomy 213E00000X · License 36.003923 (OH), 36.003894 (OH)
4357 FERGUSON DR, Cincinnati, OH 45245

Secondary Practice Location 1

Location 1375 Dixmyth AveCincinnati, OH 45220-2475 · Phone (513) 862-1800 · Fax (513) 751-8638

Other Identifiers 1

Medicaid2565399OH

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

Nathan Blanton D.p.m. 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 ID5092058743
PECOS Enrollment IDI20190520002526
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 14

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
786 services390 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
137 services18 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.
91 services72 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
87 services87 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
85 services54 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
63 services49 patients

Hospital Affiliations CMS Care Compare 3

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

Mccullough-Hyde Memorial Hospital

Acute Care Hospitals · Oxford, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360046
Location110 North Poplar StreetOxford, OH 45056 · Butler County
Emergency services Birthing friendly

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
0%255 patients1/55-star benchmark: 93%
Chlamydia Screening for Women
0%24 patients
Colorectal Cancer Screening
0%537 patients1/55-star benchmark: 88%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
2%525 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%201 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
75%1,699 patients3/55-star benchmark: 100%
e-Prescribing
97%247 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
19%1,071 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
1%1,549 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 417 patients
0%417 patients
Provide Patients Electronic Access to Their Health Information
75%1,056 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
77%251 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 619 patients
Patients totalRate: 0% · 619 patients
0%619 patients5/55-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 9

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

Pediatrics
4357 FERGUSON DR, SUITE 150
CINCINNATI, OH 45245
Obstetrics & Gynecology
4357 FERGUSON DR, STE. 210
CINCINNATI, OH 45245
Podiatrist
4357 FERGUSON DR, SUITE 150
CINCINNATI, OH 45245
Podiatrist
4357 FERGUSON DR, SUITE 150
CINCINNATI, OH 45245
Pediatrics
4357 FERGUSON DR, STE 150
CINCINNATI, OH 45245
Advanced Practice Midwife
4357 FERGUSON DR, STE. 210
CINCINNATI, OH 45245
Podiatrist
4357 FERGUSON DR, SUITE 150
CINCINNATI, OH 45245
Obstetrics & Gynecology
4357 FERGUSON DR, SUITE #210
CINCINNATI, OH 45245

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 Nathan Blanton's NPI number?

The NPI number for Nathan Blanton is 1760836506. It was assigned to this individual provider in the NPPES registry on April 18, 2016.

Where is Nathan Blanton located?

Nathan Blanton practices at 4357 Ferguson Dr, Cincinnati, OH 45245. The listed phone number is (513) 474-4450.

What is Nathan Blanton's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Nathan Blanton enrolled in Medicare?

Yes. Nathan Blanton 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 Nathan Blanton accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Oscar Health Insurance list Nathan Blanton 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 Nathan Blanton affiliated with any hospitals?

According to CMS data, Nathan Blanton is affiliated with Mccullough-Hyde Memorial Hospital, Good Samaritan Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Nathan Blanton was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.