STEPHEN D BLAIR MD
NPI 1962404244
Family Medicine in Austin, TX

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
71.53/100
CMS Quality Rating
505 W LOUIS HENNA BLVD STE 100, AUSTIN, TX 78728(855) 481-8375 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 15, 2023, Sep 23, 2020 (2 updates tracked since 2020).

About Stephen D Blair Md NPPES

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

STEPHEN D BLAIR MD (NPI 1962404244) is an individual family medicine provider in Austin, Texas, licensed in Texas (J8462) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Austin, and is a graduate of University Of Texas Medical Branch At Galveston (1994).

NPPES Registry Identity

NPI1962404244
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSTEPHEN D BLAIRCredential: MD
Location Address505 W LOUIS HENNA BLVD STE 100Austin, TX 78728-1702
Mailing Address100 W Dean Keeton St Ste 100Austin, TX 78712-1091 · (512) 471-4955
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1994
Enumeration DateJune 1, 2005
Last NPPES UpdateAugust 15, 20232 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
NPI 1962404244 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 · J8462
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.

505 W LOUIS HENNA BLVD STE 100, Austin, TX 78728

Secondary Practice Location 1

Location 1100 W Dean Keeton StAustin, TX 78712-1091 · Phone (512) 471-4955

Other Identifiers 1

Medicaid092383101TX

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

Stephen D Blair Md 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 ID1658386081
PECOS Enrollment IDI20060207000292
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 78728 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

71.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.85
Improvement Activities40
Cost69.55

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
505 W LOUIS HENNA BLVD STE 100
AUSTIN, TX 78728
Nurse Practitioner (Family)
505 W LOUIS HENNA BLVD STE 100
AUSTIN, TX 78728
Nurse Practitioner (Family)
505 W LOUIS HENNA BLVD STE 100
AUSTIN, TX 78728

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 Stephen Blair's NPI number?

The NPI number for Stephen Blair is 1962404244. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Stephen Blair located?

Stephen Blair practices at 505 W Louis Henna Blvd Ste 100, Austin, TX 78728. The listed phone number is (855) 481-8375.

What is Stephen Blair's specialty?

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

Is Stephen Blair enrolled in Medicare?

Yes. Stephen 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 Stephen Blair accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Stephen 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 Stephen Blair was last updated on August 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.