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MICHAEL W BLANEY MD
NPI 1992881122
Surgery in Martinez, GA

Active since October 31, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3830 WASHINGTON RD STE 17, MARTINEZ, GA 30907(706) 922-0440(706) 922-0441 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael W Blaney Md NPPES

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

MICHAEL W BLANEY MD (NPI 1992881122) is an individual surgery provider in Martinez, Georgia, licensed in Georgia (40614) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1992881122
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMICHAEL W BLANEYCredential: MD
Location Address3830 WASHINGTON RD STE 17Martinez, GA 30907-5080
Mailing Address2101 Central AvenueAugusta, GA 30904 · (706) 738-3359 · Fax (706) 738-0565
Phone(706) 922-0440
Fax(706) 922-0441
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1994
Enumeration DateOctober 31, 2006
Last NPPES UpdateJune 24, 2020
NPPES CertifiedJune 24, 2020
✔ NPI 1992881122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in GA · 40614
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3830 WASHINGTON RD STE 17, Martinez, GA 30907
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Secondary Practice Locations 2

Location 12101 Central AvenueAugusta, GA 30904 · Phone (706) 738-3359 · Fax (706) 738-0565
Location 2100 Hillcrest PkwyDublin, GA 31021 · Phone (706) 922-0440 · Fax (706) 922-0441

Other Identifiers 2

Medicaid000906727CGA
MedicaidG40614SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael W Blaney 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 ID7618985110
PECOS Enrollment IDI20101215000928
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Blaney reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Augusta Primary Care Services LLC
3.3 mi
Internal Medicine
3624 J DEWEY GRAY CIR, SUITE 308
Augusta, GA 30909
  • Reassigned Medicare billing, Georgia enrollment
  • 44 clinicians in this Medicare group
NPI 1952565210 (706) 855-5650
Dublin Multispecialty LLC
84 mi
Specialist
100 MEDICAL DR, SUITE 100 & 200
Dublin, GA 31021
  • Reassigned Medicare billing, Georgia enrollment
  • 8 clinicians in this Medicare group
NPI 1407923089 (478) 274-8886

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
167 services63 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.
113 services75 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.
45 services32 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
36 services36 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
31 services30 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110028
Location1350 Walton WayAugusta, GA 30901 · Richmond County
Emergency services Birthing friendly

Fairview Park Hospital

Acute Care Hospitals · Dublin, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110125
Location200 Industrial BoulevardDublin, GA 31021 · Laurens County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110177
Location3651 Wheeler RoadAugusta, GA 30909 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30907 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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
Individually scored
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
89%320 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%620 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.

Other Providers at the Same Location NPPES

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

MORGAN TAYLOR SCHAACK RD LD CPT
Dietitian, Registered
3830 WASHINGTON RD STE 17
MARTINEZ, GA 30907
Columbia County (706) 922-0440

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 Michael Blaney's NPI number?

The NPI number for Michael Blaney is 1992881122. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Michael Blaney located?

Michael Blaney practices at 3830 Washington Rd Ste 17, Martinez, GA 30907. The listed phone number is (706) 922-0440.

What is Michael Blaney's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michael Blaney enrolled in Medicare?

Yes. Michael Blaney 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.

Which organizations bill Medicare for Michael Blaney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Blaney reassigns Medicare benefits to 2 organizations: Augusta Primary Care Services LLC (Augusta, GA) and Dublin Multispecialty LLC (Dublin, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Blaney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Blaney accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Michael Blaney 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 Michael Blaney affiliated with any hospitals?

According to CMS data, Michael Blaney is affiliated with Piedmont Augusta Hospital, Fairview Park Hospital and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Michael Blaney was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.