KENNETH A BLAIS DMD, MD
NPI 1871704189
Dentist - Oral and Maxillofacial Surgery in Gainesville, VA

Active since May 25, 2007Opted out of Medicare · through Feb 19, 2027
7230 HERITAGE VILLAGE PLZ STE 101, GAINESVILLE, VA 20155(703) 379-2700 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth A Blais Dmd, Md NPPES

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

KENNETH A BLAIS DMD, MD (NPI 1871704189) is an individual oral and maxillofacial surgery provider in Gainesville, Virginia, licensed in Virginia (0401414340) and active in the NPI registry since May 2007. He has opted out of Medicare through February 19, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1871704189
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameKENNETH A BLAISCredential: DMD, MD
Location Address7230 HERITAGE VILLAGE PLZ STE 101Gainesville, VA 20155-3054
Mailing Address611 S Carlin Springs Rd Ste 308Arlington, VA 22204-1086 · (703) 379-2700
Sole ProprietorNo
Enumeration DateMay 25, 2007
Last NPPES UpdateJuly 17, 2024
NPPES CertifiedJuly 17, 2024
NPI 1871704189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in VA · 0401414340
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
7230 HERITAGE VILLAGE PLZ STE 101, Gainesville, VA 20155

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kenneth A Blais Dmd, Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 19, 2015 through February 19, 2027.

Opt-Out Effective DateFebruary 19, 2015
Opt-Out In Effect ThroughFebruary 19, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20155 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

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 Kenneth Blais's NPI number?

The NPI number for Kenneth Blais is 1871704189. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Where is Kenneth Blais located?

Kenneth Blais practices at 7230 Heritage Village Plz Ste 101, Gainesville, VA 20155. The listed phone number is (703) 379-2700.

What is Kenneth Blais's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Kenneth Blais enrolled in Medicare?

No. Kenneth Blais has opted out of Medicare through February 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Kenneth Blais accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Kenneth Blais 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.

When was this NPI record last updated?

The NPPES record for Kenneth Blais was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.