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SEAN MARTIN BLANTON PA
NPI 1992047187
Physician Assistant in Knoxville, TN

Active since March 26, 2013PECOS EnrolledAccepts Medicare Assignment
77.91/100
CMS Quality Rating
9314 PARK WEST BLVD, SUITE 200, KNOXVILLE, TN 37923(865) 694-0577 Get Directions Write a Review

NPPES record last updated: March 26, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sean Martin Blanton Pa NPPES

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

SEAN MARTIN BLANTON PA (NPI 1992047187) is an individual physician assistant in Knoxville, Tennessee, licensed in Tennessee (2313) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Methodist Medical Center Of Oak Ridge, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1992047187
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSEAN MARTIN BLANTONCredential: PA
Location Address9314 PARK WEST BLVD, SUITE 200Knoxville, TN 37923-4330
Mailing Address9314 Park West Blvd, Suite 200Knoxville, TN 37923-4330 · (865) 694-0577
Phone(865) 694-0577
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 26, 2013
✔ NPI 1992047187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TN · 2313
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
9314 PARK WEST BLVD, Knoxville, TN 37923
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.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

Sean Martin Blanton Pa 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 ID7517105539
PECOS Enrollment IDI20130604000283
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 5

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.
764 services393 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
257 services205 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0482
A definitive drug test identifies specific drugs in your system. Advanced methods like GC/MS (Gas Chromatography/Mass Spectrometry) and LC/MS (Liquid Chromatography/Mass Spectrometry) are used. These can distinguish between similar drugs, providing precise results.
185 services156 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0483
A definitive drug test identifies specific drugs in your system. It uses advanced methods like gc/ms and lc/ms, which can distinguish between different types of drugs but not necessarily their 3D forms. This test offers detailed results to support your healthcare decisions.
87 services82 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Methodist Medical Center Of Oak Ridge

Acute Care Hospitals · Oak Ridge, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440034
Location990 Oak Ridge Turnpike Box 529Oak Ridge, TN 37830 · Anderson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37923 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

77.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost26.37

Other Providers at the Same Location NPPES 8

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

NEUROSURGERY & SPINE CONSULTANTS OF EAST TENNESSEE PC
Neurological Surgery
9314 PARK WEST BLVD, 200 MEDICAL ARTS BLDG
KNOXVILLE, TN 37923
Knox County (865) 694-0577
MARGARET ANTHONY LCSW
Social Worker (Clinical)
9314 PARK WEST BLVD, SUITE 100
KNOXVILLE, TN 37923
Knox County (865) 251-5588
DR. MITCHELL H WEISS M.D.
Internal Medicine (Interventional Cardiology)
9314 PARK WEST BLVD, # 300
KNOXVILLE, TN 37923
Knox County (865) 690-9475
MRS. SANDY ALTIZER RD, LDN
Dietitian, Registered
9314 PARK WEST BLVD, SUITE 400
KNOXVILLE, TN 37923
Knox County (865) 694-9676
JOEL BRYAN RAGLAND MD
Neurological Surgery
9314 PARK WEST BLVD, 200 MEDICAL ARTS BLDG
KNOXVILLE, TN 37923
Knox County (865) 694-0577
DAVID HANS HAUGE MD
Neurological Surgery
9314 PARK WEST BLVD, 200 MEDICAL ARTS BLDG
KNOXVILLE, TN 37923
Knox County (865) 694-0577
WEST KNOXVILLE HEART, P.C.
Internal Medicine (Cardiovascular Disease)
9314 PARK WEST BLVD, # 300
KNOXVILLE, TN 37923
Knox County (865) 690-9475
STEVEN ALLEN SANDERS MD
Neurological Surgery
9314 PARK WEST BLVD, 200 MEDICAL ARTS BLDG
KNOXVILLE, TN 37923
Knox County (865) 694-0577

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 Sean Blanton's NPI number?

The NPI number for Sean Blanton is 1992047187. It was assigned to this individual provider in the NPPES registry on March 26, 2013.

Where is Sean Blanton located?

Sean Blanton practices at 9314 Park West Blvd Suite 200, Knoxville, TN 37923. The listed phone number is (865) 694-0577.

What is Sean Blanton's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sean Blanton enrolled in Medicare?

Yes. Sean Blanton 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 Sean Blanton accept?

Health plans from BlueCross BlueShield of Tennessee list Sean Blanton 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 Sean Blanton affiliated with any hospitals?

According to CMS data, Sean Blanton is affiliated with Methodist Medical Center Of Oak Ridge.

When was this NPI record last updated?

The NPPES record for Sean Blanton was last updated on March 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.