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JONATHAN SCOTT BLIZZARD D.O.
NPI 1922548106
Internal Medicine in Philadelphia, PA

Active since March 07, 2017PECOS EnrolledAccepts Medicare Assignment
84.01/100
CMS Quality Rating
4190 CITY AVENUE, PHILADELPHIA, PA 19131(215) 871-6690 Get Directions Write a Review

NPPES record last updated: September 8, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jonathan Scott Blizzard D.o. NPPES

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

JONATHAN SCOTT BLIZZARD D.O. (NPI 1922548106) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in New Jersey (25MB10848100) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Philadelphia College Of Osteopathic Medicine (2020).

NPPES Registry Identity

NPI1922548106
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJONATHAN SCOTT BLIZZARDCredential: D.O.
Location Address4190 CITY AVENUEPhiladelphia, PA 19131
Mailing Address4190 City Avenue, PcomPhiladelphia, PA 19131
Phone(215) 871-6690
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2020
Enumeration DateMarch 7, 2017
Last NPPES UpdateSeptember 8, 2020
NPPES CertifiedSeptember 8, 2020
✔ NPI 1922548106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MB10848100
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4190 CITY AVENUE, Philadelphia, PA 19131
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar 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

Jonathan Scott Blizzard 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 ID9335410216
PECOS Enrollment IDI20200624002170
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 Jonathan Blizzard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optum Medical Care Of New Jersey PC
96 mi
Pediatrics
1 DAKOTA DR
New Hyde Park, NY 11042
  • Reassigned Medicare billing, New Jersey enrollment
  • 417 clinicians in this Medicare group
NPI 1578665048 (516) 627-1811

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 3

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 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.
88 services52 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.
31 services25 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19131 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

84.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.67
Promoting Interoperability98
Improvement Activities40
Cost76.48

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.

DR. JOSEPH KOBY IFRACH DO
Student in an Organized Health Care Education/Training Program
4190 CITY AVENUE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6169
DR. NEERAJ KANCHERLA M.D.
Student in an Organized Health Care Education/Training Program
4190 CITY AVENUE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6646

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 Jonathan Blizzard's NPI number?

The NPI number for Jonathan Blizzard is 1922548106. It was assigned to this individual provider in the NPPES registry on March 7, 2017.

Where is Jonathan Blizzard located?

Jonathan Blizzard practices at 4190 City Avenue, Philadelphia, PA 19131. The listed phone number is (215) 871-6690.

What is Jonathan Blizzard's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jonathan Blizzard enrolled in Medicare?

Yes. Jonathan Blizzard 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 Jonathan Blizzard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Blizzard reassigns Medicare benefits to Optum Medical Care Of New Jersey PC (New Hyde Park, NY). 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 Jonathan Blizzard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Blizzard accept?

Health plans from Oscar Health list Jonathan Blizzard 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 Jonathan Blizzard affiliated with any hospitals?

According to CMS data, Jonathan Blizzard is affiliated with Hackensack University Medical Center.

When was this NPI record last updated?

The NPPES record for Jonathan Blizzard was last updated on September 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.