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MALCOLM BLAIR PA-C
NPI 1831818756
Physician Assistant in Knoxville, TN

Active since August 24, 2022PECOS EnrolledAccepts Medicare Assignment
1932 ALCOA HWY, BLDG. C, SUITE 360, KNOXVILLE, TN 37920(865) 524-1869 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 3, 2022, Sep 7, 2022, Aug 24, 2022 (3 updates tracked since 2022).

About Malcolm Blair Pa-c NPPES

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

MALCOLM BLAIR PA-C (NPI 1831818756) is an individual physician assistant in Knoxville, Tennessee and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, is affiliated with Blount Memorial Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1831818756
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMALCOLM BLAIRCredential: PA-C
Location Address1932 ALCOA HWY, BLDG. C, SUITE 360Knoxville, TN 37920
Mailing Address1932 Alcoa Hwy Ste 360Knoxville, TN 37920-1509 · (865) 524-1869
Phone(865) 524-1869
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 24, 2022
Last NPPES UpdateOctober 3, 20223 updates tracked since enumeration
NPPES CertifiedOctober 3, 2022
✔ NPI 1831818756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
1932 ALCOA HWY, Knoxville, TN 37920
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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

Malcolm Blair Pa-c 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 ID9638546468
PECOS Enrollment IDI20221107003091
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 8

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.
49 services46 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
26 services20 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.
25 services21 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.
25 services25 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.
23 services23 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.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Blount Memorial Hospital

Acute Care Hospitals · Maryville, TN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440011
Location907 E Lamar Alexander ParkwayMaryville, TN 37804 · Blount County
Emergency services Birthing friendly

University Health System, Inc

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440015
Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37920 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

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.

SUSAN S HOUCHINS NP
Nurse Practitioner (Obstetrics & Gynecology)
1932 ALCOA HWY, 150
KNOXVILLE, TN 37920
Knox County (865) 546-1642
HANNAH M. NEMEC MD
Surgery
1932 ALCOA HWY
KNOXVILLE, TN 37920
Knox County (865) 251-4658
REGINA MORRISON PHILLIPS N.P.
Nurse Practitioner
1932 ALCOA HWY, SUITE 580
KNOXVILLE, TN 37920
Knox County (865) 305-6333
MORGAN ANDERSON PA-C
Physician Assistant (Surgical)
1932 ALCOA HWY, SUITE 360
KNOXVILLE, TN 37920
Knox County (865) 524-1869
ROCIO A HUET M.D.
Internal Medicine
1932 ALCOA HWY, STE 470
KNOXVILLE, TN 37920
Knox County (865) 971-3529
UNIVERSITY HEALTH SYSTEM, INC
General Practice
1932 ALCOA HWY, BLDG C SUITE 550
KNOXVILLE, TN 37920
Knox County (865) 546-6554
WILLIAM CASON P.A.
Physician Assistant (Surgical)
1932 ALCOA HWY, STE 255
KNOXVILLE, TN 37920
Knox County (865) 524-1869
NEPHROLOGY ASSOCIATES OF KNOXVILLE, PC
Internal Medicine (Nephrology)
1932 ALCOA HWY, STE C460
KNOXVILLE, TN 37920
Knox County (865) 546-9246

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 Malcolm Blair's NPI number?

The NPI number for Malcolm Blair is 1831818756. It was assigned to this individual provider in the NPPES registry on August 24, 2022.

Where is Malcolm Blair located?

Malcolm Blair practices at 1932 Alcoa Hwy Bldg. C, Suite 360, Knoxville, TN 37920. The listed phone number is (865) 524-1869.

What is Malcolm Blair's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Malcolm Blair enrolled in Medicare?

Yes. Malcolm Blair 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 Malcolm Blair accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Malcolm Blair 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 Malcolm Blair affiliated with any hospitals?

According to CMS data, Malcolm Blair is affiliated with Blount Memorial Hospital and University Health System, Inc.

When was this NPI record last updated?

The NPPES record for Malcolm Blair was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.