JAMES BLAUGRUND
NPI 1831162312
Otolaryngology in Pittsburgh, PA

Q: 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.

Q: What is James Blaugrund's specialty?

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

Q: 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.

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: October 25, 2026.

On this page

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

Phone(412) 366-3889

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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show James Blaugrund reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Upmc Community Medicine Inc

0.1 mi

Cardiovascular Disease

9104 BABCOCK BLVD, SUITE 6104
Pittsburgh, PA 15237

Reassigned Medicare billing, Pennsylvania enrollment
1,182 clinicians in this Medicare group

NPI 1619393022 (412) 366-5454

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

104 services94 patients

Professional service for multiple injections of allergen 95117

The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.

85 services20 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

83 services63 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.

75 services75 patients

Exam to assess movement of vocal cord flaps using an endoscope 31579

This procedure involves using a thin, flexible tube called an endoscope to view your vocal cords. The endoscope is gently inserted through your nose or mouth to observe the movement of your vocal cords. This helps identify any abnormalities or issues.

35 services31 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.

18 services18 patients

Incision, aspiration, and/or inflation of eardrum 69420

This procedure involves making a small cut in the eardrum to relieve pressure, remove fluid, or insert a tiny tube. It can help in conditions like chronic ear infections or hearing loss. It's a common, quick, and typically painless procedure.

17 services14 patients

Incision of eardrum with insertion of eardrum tube under local or topical anesthesia 69433

This procedure, known as a Myringotomy with Tube Insertion, involves making a small incision in the eardrum to drain fluid and relieve pressure. A tiny tube is then placed in the eardrum to prevent future fluid buildup. It's done under local or topical anesthesia.

11 services11 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 Mercy

Acute Care Hospitals · Pittsburgh, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390028

Location1400 Locust StreetPittsburgh, PA 15219 · Allegheny 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

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

Quality

74.61

Promoting Interoperability

100

Improvement Activities

Cost

53.82

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.

NATALIE LLEWELLYN

Physician Assistant (Surgical)

9104 BABCOCK BLVD, SUITE 2120
PITTSBURGH, PA 15237

Allegheny County (412) 367-0600

VASANTI HARSHIT MAJMUDAR M.D.

Obstetrics & Gynecology

9104 BABCOCK BLVD, SUITE 5113
PITTSBURGH, PA 15237

Allegheny County (412) 364-4184

JAMES CRAIG

Physical Medicine & Rehabilitation (Pain Medicine)

9104 BABCOCK BLVD, SUITE 2120
PITTSBURGH, PA 15237

Allegheny County (412) 367-0600

DR. RICHARD AVERY HERMAN JR. MD

Student in an Organized Health Care Education/Training Program

9104 BABCOCK BLVD, 5TH FLOOR
PITTSBURGH, PA 15237

Allegheny County (706) 721-0211

ROMANO PONTZER & ASSOCIATES LIMITED

Internal Medicine (Infectious Disease)

9104 BABCOCK BLVD, STE 6118
PITTSBURGH, PA 15237

Allegheny County (412) 348-0330

JUDITH ESMAN

Internal Medicine

9104 BABCOCK BLVD, SUITE 2120
PITTSBURGH, PA 15237

Allegheny County (412) 367-0600

DR. MICHAEL W. WEISS M.D.

Specialist

9104 BABCOCK BLVD, SUITE 2120
PITTSBURGH, PA 15237

Allegheny County (412) 367-0600

SCOTT RAINEY

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

9104 BABCOCK BLVD, SUITE 2120
PITTSBURGH, PA 15237

Allegheny County (412) 367-0600

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.

Which organization bills Medicare for James Blaugrund's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Blaugrund reassigns Medicare benefits to Upmc Community Medicine Inc (Pittsburgh, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Blaugrund's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is James Blaugrund affiliated with any hospitals?

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

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.