MATTHEW BLAISDELL D.O.
NPI 1780039164
Family Medicine in Redding, CA

Q: What is Matthew Blaisdell's NPI number?

The NPI number for Matthew Blaisdell is 1780039164. It was assigned to this individual provider in the NPPES registry on May 4, 2016.

Q: What is Matthew Blaisdell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Blaisdell was last updated on March 10, 2021. 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.

Active since May 04, 2016PECOS Enrolled

2480 SONOMA ST, REDDING, CA 96001(530) 225-7800 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Matthew Blaisdell D.o. NPPES

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

MATTHEW BLAISDELL D.O. (NPI 1780039164) is an individual family medicine provider in Redding, California, licensed in Wisconsin (19636) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780039164

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMATTHEW BLAISDELLCredential: D.O.

Location Address2480 SONOMA STRedding, CA 96001

Mailing Address2175 Rosaline Ave.Redding, CA 96001 · (530) 225-7800

Phone(530) 225-7800

Sole ProprietorNo

Enumeration DateMay 4, 2016

Last NPPES UpdateMarch 10, 2021

NPPES CertifiedMarch 10, 2021

✔ NPI 1780039164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 19636

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2480 SONOMA ST, Redding, CA 96001

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Blaisdell D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96001 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

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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.

QUINN T SEAU MD

Student in an Organized Health Care Education/Training Program