SUSAN DIANE BLAIR M.D.
NPI 1942209572
Ophthalmology in Little Rock, AR

Active since July 15, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4200 N RODNEY PARHAM RD STE 101, LITTLE ROCK, AR 72212(501) 224-5658(501) 224-8114 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan Diane Blair M.d. NPPES

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

SUSAN DIANE BLAIR M.D. (NPI 1942209572) is an individual ophthalmology provider in Little Rock, Arkansas, licensed in Arkansas (C7661) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (1989).

NPPES Registry Identity

NPI1942209572
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameSUSAN DIANE BLAIRCredential: M.D.
Location Address4200 N RODNEY PARHAM RD STE 101Little Rock, AR 72212-2458
Mailing Address201 Executive Ct Ste ALittle Rock, AR 72205-4536 · (501) 224-5658 · Fax (501) 223-8656
Fax(501) 224-8114
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1989
Enumeration DateJuly 15, 2005
Last NPPES UpdateApril 15, 2025
NPPES CertifiedApril 15, 2025
NPI 1942209572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in AR · C7661
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

4200 N RODNEY PARHAM RD STE 101, Little Rock, AR 72212

Other Identifiers 11

Other08-20033AR · United Healthcare
Other180030604AR · Railroad Medicare
Other5B955AR · Blue Cross Pay To Provide
Other4514242AR · Aetna
Other11825AR · Coordinated Vision Care
Other13629000000AR · Qualchoice
Other54157AR · Blue Cross Of Ar
OtherCJ3133AR · Rr Medicare Group #
Other2454752AR · Cigna
Medicaid125599001AR
OtherC7661AR · State Medical Board

Accepted 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

Susan Diane Blair M.d. 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 ID5193625788
PECOS Enrollment IDI20101211000138
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 10

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
419 services403 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
363 services220 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
265 services232 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
117 services116 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
112 services95 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
46 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72212 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Reported Quality Measures

Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
100%27 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%29 patients5/55-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.

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 Susan Blair's NPI number?

The NPI number for Susan Blair is 1942209572. It was assigned to this individual provider in the NPPES registry on July 15, 2005.

Where is Susan Blair located?

Susan Blair practices at 4200 N Rodney Parham Rd Ste 101, Little Rock, AR 72212. The listed phone number is (501) 224-5658.

What is Susan Blair's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Susan Blair enrolled in Medicare?

Yes. Susan 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 Susan Blair accept?

Health plans from Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Susan 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.

When was this NPI record last updated?

The NPPES record for Susan Blair was last updated on April 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.