DR. HERBERT L BLATT M.D., J.D. - NPI 1942248729 - Ophthalmology in Douglasville, GA

Q: What is Herbert Blatt's NPI number?

The NPI number for Herbert Blatt is 1942248729. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Q: What is Herbert Blatt's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Herbert Blatt was last updated on August 10, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Herbert L Blatt M.d., J.d. NPPES

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

DR. HERBERT L BLATT M.D., J.D. (NPI 1942248729) is an individual ophthalmology provider in Douglasville, Georgia, licensed in Georgia (020964) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942248729

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. HERBERT L BLATTCredential: M.D., J.D.

Location Address6001 PROFESSIONAL PKWY, SUITE 2000Douglasville, GA 30134-5602

Mailing AddressPo Box 2010Douglasville, GA 30133-2010 · (770) 949-3885 · Fax (770) 949-3882

Phone(770) 949-3885

Fax(770) 949-3882

Sole ProprietorYes

Enumeration DateJune 3, 2006

Last NPPES UpdateAugust 10, 2010

✔ NPI 1942248729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in GA · 020964

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.

6001 PROFESSIONAL PKWY, Douglasville, GA 30134

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Other Identifiers 2

Medicare UPIND28947

Medicaid00190495AGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Herbert L Blatt M.d., J.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30134 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

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.

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…

99%80 patients4/55-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.