DR. EDWARD JOSEPH BLANCHARD III
NPI 1770767055
Internal Medicine - Infectious Disease in West Reading, PA

Active since December 22, 2007PECOS EnrolledAccepts Medicare Assignment
86.13/100
CMS Quality Rating
301 S 7TH AVE, SUITE 130, WEST READING, PA 19611(610) 988-4630 Get Directions Write a Review

NPPES record last updated: March 27, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Edward Joseph Blanchard Iii NPPES

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

DR. EDWARD JOSEPH BLANCHARD III (NPI 1770767055) is an individual infectious disease provider in West Reading, Pennsylvania, licensed in Pennsylvania (MD436562) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2004).

NPPES Registry Identity

NPI1770767055
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. EDWARD JOSEPH BLANCHARD III
Location Address301 S 7TH AVE, SUITE 130West Reading, PA 19611-1410
Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-0799
Sole ProprietorYes
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2004
Enumeration DateDecember 22, 2007
Last NPPES UpdateMarch 27, 2018
NPI 1770767055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in PA · MD436562
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
301 S 7TH AVE, West Reading, PA 19611

Other Identifiers 1

Medicaid102303397PA

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. Edward Joseph Blanchard Iii 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 ID648321554
PECOS Enrollment IDI20090706000153
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 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.
538 services248 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.
120 services117 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.
59 services57 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
31 services28 patients

Hospital Affiliations CMS Care Compare

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19611 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

86.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.91
Promoting Interoperability99
Improvement Activities40
Cost62.83

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.

Internal Medicine (Interventional Cardiology)
301 S 7TH AVE, SUITE 2020
WEST READING, PA 19611
Specialist
301 S 7TH AVE, STE 135
WEST READING, PA 19611
Physical Therapist
301 S 7TH AVE, STE 3220
WEST READING, PA 19611
Psychiatry & Neurology (Neurology)
301 S 7TH AVE, SUITE 210
READING, PA 19611
Specialist
301 S 7TH AVE, STE 135
WEST READING, PA 19611
Orthopaedic Surgery
301 S 7TH AVE, SUITE 3220
WEST READING, PA 19611
Physical Therapist
301 S 7TH AVE, SUITE 3020
WEST READING, PA 19611
Internal Medicine (Interventional Cardiology)
301 S 7TH AVE, SUITE 2020
WEST READING, PA 19611

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 Edward Blanchard's NPI number?

The NPI number for Edward Blanchard is 1770767055. It was assigned to this individual provider in the NPPES registry on December 22, 2007.

Where is Edward Blanchard located?

Edward Blanchard practices at 301 S 7th Ave Suite 130, West Reading, PA 19611. The listed phone number is (610) 988-4630.

What is Edward Blanchard's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Edward Blanchard enrolled in Medicare?

Yes. Edward Blanchard 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 Edward Blanchard accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Edward Blanchard 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 Edward Blanchard affiliated with any hospitals?

According to CMS data, Edward Blanchard is affiliated with Reading Hospital.

When was this NPI record last updated?

The NPPES record for Edward Blanchard was last updated on March 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.