DR. KEVIN J BLANTON D.O.
NPI 1881666402
Family Medicine in Clifton, TX

Q: What is Kevin Blanton's NPI number?

The NPI number for Kevin Blanton is 1881666402. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Q: What is Kevin Blanton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Blanton was last updated on September 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 07, 2006PECOS EnrolledAccepts Medicare Assignment

201 POSEY AVE, CLIFTON, TX 76634(254) 675-8621(254) 675-2254 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Kevin J Blanton D.o. NPPES

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

DR. KEVIN J BLANTON D.O. (NPI 1881666402) is an individual family medicine provider in Clifton, Texas, licensed in Texas (L7314) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1881666402

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KEVIN J BLANTONCredential: D.O.

Location Address201 POSEY AVEClifton, TX 76634-1200

Mailing AddressPo Box 72Clifton, TX 76634-0072 · (254) 675-8621 · Fax (254) 675-2254

Phone(254) 675-8621

Fax(254) 675-2254

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateFebruary 7, 2006

Last NPPES UpdateSeptember 1, 2020

NPPES CertifiedSeptember 1, 2020

✔ NPI 1881666402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · L7314

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

201 POSEY AVE, Clifton, TX 76634

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Other Identifiers 1

Medicaid164753904TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Dr. Kevin J Blanton D.o. 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 ID345237475

PECOS Enrollment IDI20040429000481

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

535 services292 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

232 services221 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.

212 services205 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

142 services103 patients

Hospital Affiliations CMS Care Compare 5

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

Ascension Providence

Acute Care Hospitals · Waco, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450042

Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County

Emergency services Birthing friendly

Parkview Regional Hospital

Acute Care Hospitals · Mexia, TX

OwnershipProprietary

CMS Certification Number450400

Location600 South Bonham StreetMexia, TX 76667 · Limestone County

Emergency services

Freestone Medical Center

Acute Care Hospitals · Fairfield, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450658

Location125 Newman StFairfield, TX 75840 · Freestone County

Emergency services

Coryell Memorial Hospital

Critical Access Hospitals · Gatesville, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number451379

Location1507 W Main StreetGatesville, TX 76528 · Coryell County

Emergency services

Goodall Witcher Hospital

Critical Access Hospitals · Clifton, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number451385

Location101 Posey AvenueClifton, TX 76634 · Bosque County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76634 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers48 claims48 services$16.99 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

6 suppliers69 claims71 services$97.25 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers20 claims20 services$35.14 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

2 suppliers12 claims12 services$36.91 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

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