JAMES BLAUGRUND
NPI 1831162312
Otolaryngology in Pittsburgh, PA

Active since February 07, 2006PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
9104 BABCOCK BLVD, UPMC PASSAVANT PROFESSIONAL BLDG SUITE 3112, PITTSBURGH, PA 15237(412) 366-3889 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James Blaugrund NPPES

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

JAMES BLAUGRUND (NPI 1831162312) is an individual otolaryngology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD065380L) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Jameson, and is a graduate of Yale University School Of Medicine (1992).

NPPES Registry Identity

NPI1831162312
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameJAMES BLAUGRUND
Location Address9104 BABCOCK BLVD, UPMC PASSAVANT PROFESSIONAL BLDG SUITE 3112Pittsburgh, PA 15237-5818
Mailing Address9800 Mcknight Rd, Suite 130Pittsburgh, PA 15237-6004
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 1992
Enumeration DateFebruary 7, 2006
Last NPPES UpdateApril 6, 2021
NPI 1831162312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in PA · MD065380L
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
9104 BABCOCK BLVD, Pittsburgh, PA 15237

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

James Blaugrund 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 ID7113830555
PECOS Enrollment IDI20031111000384
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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
1,036 services36 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
211 services162 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.
209 services187 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.
208 services175 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.
152 services152 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
123 services113 patients

Hospital Affiliations CMS Care Compare 5

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

Upmc Jameson

Acute Care Hospitals · New Castle, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390016
Location1211 Wilmington AvenueNew Castle, PA 16105 · Lawrence County
Emergency services

Upmc St Margaret

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390102
Location815 Freeport RoadPittsburgh, PA 15215 · Allegheny County
Emergency services

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Ahn Wexford Hospital

Acute Care Hospitals · Wexford, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390334
Location12351 Perry HighwayWexford, PA 15090 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15237 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
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

Referred Medical Equipment & Supplies CMS DME claims 2

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

Sterile water, saline and/or dextrose, diluent/flush, 10 ml A4216
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims1,296 services$0.41 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers11 claims9,460 services$0.32 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.

Student in an Organized Health Care Education/Training Program
9104 BABCOCK BLVD, 5TH FLOOR
PITTSBURGH, PA 15237
Physician Assistant (Surgical)
9104 BABCOCK BLVD, SUITE 2120
PITTSBURGH, PA 15237
Obstetrics & Gynecology
9104 BABCOCK BLVD, SUITE 5113
PITTSBURGH, PA 15237
Physical Medicine & Rehabilitation (Pain Medicine)
9104 BABCOCK BLVD, SUITE 2120
PITTSBURGH, PA 15237
Student in an Organized Health Care Education/Training Program
9104 BABCOCK BLVD, 5TH FLOOR
PITTSBURGH, PA 15237
Internal Medicine (Infectious Disease)
9104 BABCOCK BLVD, STE 6118
PITTSBURGH, PA 15237
Internal Medicine
9104 BABCOCK BLVD, SUITE 2120
PITTSBURGH, PA 15237
Specialist
9104 BABCOCK BLVD, SUITE 2120
PITTSBURGH, PA 15237

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 James Blaugrund's NPI number?

The NPI number for James Blaugrund is 1831162312. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is James Blaugrund located?

James Blaugrund practices at 9104 Babcock Blvd Upmc Passavant Professional Bldg Suite 3112, Pittsburgh, PA 15237. The listed phone number is (412) 366-3889.

What is James Blaugrund's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is James Blaugrund enrolled in Medicare?

Yes. James Blaugrund 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.

Is James Blaugrund affiliated with any hospitals?

According to CMS data, James Blaugrund is affiliated with Upmc Jameson, Upmc St Margaret, Upmc Passavant, Magee Womens Hospital Of Upmc Health System and Ahn Wexford Hospital.

When was this NPI record last updated?

The NPPES record for James Blaugrund was last updated on April 6, 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.