DR. JAMES WALLENTINE BLOTTER M.D.
NPI 1962499673
Otolaryngology - Plastic Surgery within the Head & Neck in North Logan, UT

Active since September 29, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2245 N 400 E, STE 301, NORTH LOGAN, UT 84341(435) 753-7880(435) 753-5845 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James Wallentine Blotter M.d. NPPES

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

DR. JAMES WALLENTINE BLOTTER M.D. (NPI 1962499673) is an individual plastic surgery within the head & neck provider in North Logan, Utah, licensed in Utah (3082587-1205) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Bear Lake Memorial Hospital, and maintains a secondary practice location in North Logan.

NPPES Registry Identity

NPI1962499673
Entity TypeIndividualMale
Primary Taxonomy207YX0007X
Provider Legal NameDR. JAMES WALLENTINE BLOTTERCredential: M.D.
Location Address2245 N 400 E, STE 301North Logan, UT 84341-1892
Mailing Address2245 N 400 E, Ste 301North Logan, UT 84341-1892 · (435) 753-7880 · Fax (435) 753-5845
Fax(435) 753-5845
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1995
Enumeration DateSeptember 29, 2005
Last NPPES UpdateMarch 7, 2023
NPPES CertifiedJune 18, 2022
NPI 1962499673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License Licensed in UT · 3082587-1205
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
2245 N 400 E, North Logan, UT 84341

Secondary Practice Location 1

Location 12380 N 400 E, Suite #DNorth Logan, UT 84341-1749 · Phone (435) 753-7880 · Fax (435) 753-5845

Other Identifiers 2

OtherM-8784ID · Idaho State License
Medicaid87037196400UT

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

Dr. James Wallentine Blotter 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 ID4587739149
PECOS Enrollment IDI20100831000194, I20220221001256
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 12

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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
665 services27 patients
Professional service for single injection of allergen 95115
A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.
148 services19 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
136 services22 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.
111 services89 patients
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.
65 services53 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
50 services44 patients

Hospital Affiliations CMS Care Compare 3

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

Bear Lake Memorial Hospital

Critical Access Hospitals · Montpelier, ID
OwnershipGovernment - Local
CMS Certification Number131316
Location164 South Fifth StreetMontpelier, ID 83254 · Bear Lake County
Emergency services

Logan Regional Hospital

Acute Care Hospitals · Logan, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460015
Location1400 North 500 EastLogan, UT 84341 · Cache County
Emergency services Birthing friendly

Cache Valley Hospital

Acute Care Hospitals · North Logan, UT
OwnershipProprietary
CMS Certification Number460054
Location2380 North 400 EastNorth Logan, UT 84341 · Cache County
Emergency services Birthing friendly

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
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers14 claims14 services$39.71 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers14 claims14 services$86.25 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers14 claims41 services$35.84 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers16 claims92 services$2.50 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers25 claims25 services$37.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Physician Assistant
2245 N 400 E, STE 301
NORTH LOGAN, UT 84341
Clinic/Center (Physical Therapy)
2245 N 400 E, STE. 201
NORTH LOGAN, UT 84341
Otolaryngology
2245 N 400 E, STE 301
NORTH LOGAN, UT 84341
Otolaryngology (Plastic Surgery within the Head & Neck)
2245 N 400 E, STE 301
NORTH LOGAN, UT 84341
Physician Assistant (Medical)
2245 N 400 E, STE 301
LOGAN, UT 84341
Otolaryngology (Plastic Surgery within the Head & Neck)
2245 N 400 E, STE 301
NORTH LOGAN, UT 84341
Physician Assistant (Medical)
2245 N 400 E, STE 301
NORTH LOGAN, UT 84341
Dentist (Orthodontics and Dentofacial Orthopedics)
2245 N 400 E, SUITE 103
LOGAN, UT 84341

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 James Blotter's NPI number?

The NPI number for James Blotter is 1962499673. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Where is James Blotter located?

James Blotter practices at 2245 N 400 E Ste 301, North Logan, UT 84341. The listed phone number is (435) 753-7880.

What is James Blotter's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is James Blotter enrolled in Medicare?

Yes. James Blotter 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 James Blotter accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list James Blotter 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 James Blotter affiliated with any hospitals?

According to CMS data, James Blotter is affiliated with Bear Lake Memorial Hospital, Logan Regional Hospital and Cache Valley Hospital.

When was this NPI record last updated?

The NPPES record for James Blotter was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.