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RAYMOND PAUL-BLANC MD
NPI 1831197748
Urology in Mansfield, MA

Active since July 13, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 22D0939864 · Microscopy
70.43/100
CMS Quality Rating
16 CREEDEN ST, #4, MANSFIELD, MA 02048(508) 339-3600(508) 339-8831 Get Directions Write a Review

NPPES record last updated: October 18, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Raymond Paul-blanc Md NPPES

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

RAYMOND PAUL-BLANC MD (NPI 1831197748) is an individual urology provider in Mansfield, Massachusetts, licensed in Massachusetts (46432) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through February 1, 2028, and is affiliated with Sturdy Memorial Hospital.

NPPES Registry Identity

NPI1831197748
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameRAYMOND PAUL-BLANCCredential: MD
Location Address16 CREEDEN ST, #4Mansfield, MA 02048-1212
Mailing Address340 Main St, Ste. 670Worcester, MA 01608-1604 · (508) 754-3566 · Fax (508) 438-6368
Phone(508) 339-3600
Fax(508) 339-8831
Sole ProprietorNo
Medical School CMSOtherGraduated 1974
Enumeration DateJuly 13, 2005
Last NPPES UpdateOctober 18, 2011
✔ NPI 1831197748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in MA · 46432
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
16 CREEDEN ST, Mansfield, MA 02048
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Other Identifiers 4

Medicare UPINE47185
Medicaid3068501MA
Medicare PINJ09950MA
Medicare PINJ0995001MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.Insurance ›

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

Raymond Paul-blanc Md 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 ID9739136086
PECOS Enrollment IDI20050407001108
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 Reassignments

2

Medicare enrollment records show Raymond Paul-blanc reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Raymond Paul-Blanc, MD, PC
Same address
Urology
16 CREEDEN ST, #4
Mansfield, MA 02048
  • Reassigned Medicare billing, Massachusetts enrollment
NPI 1659438539 (508) 339-3600
Greater Boston Urology, LLC
14 mi
Urology
910 WASHINGTON ST STE 200
Dedham, MA 02026
  • Reassigned Medicare billing, Massachusetts enrollment
  • 37 clinicians in this Medicare group
NPI 1003120411 (781) 762-0471

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 22D0939864

Raymond Paul-Blanc MD · Norfolk, MA
Active · expires Feb 1, 2028
CLIA Number22D0939864
Laboratory TypePhysician Office
Certificate Effective DateFebruary 2, 2026
Certificate Expiration DateFebruary 1, 2028
Laboratory DirectorRaymond Paul-Blanc
Laboratory Phone(508) 339-3600
Laboratory LocationRaymond Paul-Blanc MD31 Pine Street Suite 203, Norfolk, MA 02056
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 11

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.

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.
950 services530 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
238 services166 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
155 services138 patients
Imaging of urinary tract following injection of a contrast agent 74420
This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.
43 services35 patients
Insertion of stent in ureter using an endoscope 52332
This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.
32 services24 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
30 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Sturdy Memorial Hospital

Acute Care Hospitals · Attleboro, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220008
Location211 Park StreetAttleboro, MA 02703 · Bristol County
Emergency services Birthing friendly

Morton Hospital

Acute Care Hospitals · Taunton, MA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number220073
Location88 Washington StreetTaunton, MA 02780 · Bristol County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02048 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

70.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality43.28
Improvement Activities40
Cost74.75

Reported Quality Measures

Breast Cancer Screening
0%62 patients1/55-star benchmark: 93%
Colorectal Cancer Screening
1%389 patients1/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
68%925 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
23%632 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%847 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 214 patients
0%214 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 391 patients
Patients totalRate: 3% · 391 patients
3%391 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier12 claims2,400 services$1.75 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier13 claims26 services$8.01 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier13 claims20 services$6.39 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
1 supplier12 claims360 services$4.92 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
1 supplier12 claims360 services$8.47 avg. paid by Medicare
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$3.47 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 2

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

RAYMOND PAUL-BLANC, MD, PC
Urology
16 CREEDEN ST, #4
MANSFIELD, MA 02048
Bristol County (508) 339-3600
HAMID H SAHEB-KASHAF M.D.
Obstetrics & Gynecology
16 CREEDEN ST, UNIT 4
MANSFIELD, MA 02048
Bristol County (508) 339-3600

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 Raymond Paul-blanc's NPI number?

The NPI number for Raymond Paul-blanc is 1831197748. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Raymond Paul-blanc located?

Raymond Paul-blanc practices at 16 Creeden St #4, Mansfield, MA 02048. The listed phone number is (508) 339-3600.

What is Raymond Paul-blanc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Raymond Paul-blanc enrolled in Medicare?

Yes. Raymond Paul-blanc 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 organizations bill Medicare for Raymond Paul-blanc's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raymond Paul-blanc reassigns Medicare benefits to 2 organizations: Raymond Paul-Blanc, MD, PC (Mansfield, MA) and Greater Boston Urology, LLC (Dedham, MA). Each 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 Raymond Paul-blanc's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Raymond Paul-blanc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 22D0939864) is associated with this NPI, valid through February 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Raymond Paul-blanc accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Raymond Paul-blanc 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 Raymond Paul-blanc affiliated with any hospitals?

According to CMS data, Raymond Paul-blanc is affiliated with Sturdy Memorial Hospital and Morton Hospital.

When was this NPI record last updated?

The NPPES record for Raymond Paul-blanc was last updated on October 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.