DR. MARY A BLATTNER (MD) – Dermatology Physician, NPI 1205813193

DR. MARY A BLATTNER (MD) is a healthcare provider. based in Greeley, Colorado. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 22983 (CO). The NPI Number for DR. MARY A BLATTNER (MD) is 1205813193

Main info

Female
51 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARY A BLATTNER (MD)
NPI
1205813193
Phone
(970) 313-2734
Address
5881 W 16TH ST
Enumeration Date
30 December 2005
Last Update Date
1 July 2013

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
9702243636
Graduation Year
1975 (51 years ago)
PAC ID
3971642794
Group Practice PAC ID
9638208549
Professional Enrollment ID
I20091207000689
Address ID
CO806345474GR6767XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

364 DERMATOLOGY in CO

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Provider Addresses for DR. MARY A BLATTNER (MD)

  • West 16th Street, Greeley, Weld County, Colorado, 80634-9998, United States

    GREELEY, CO 806342910

    Phone: (970) 313-2734

    Fax: (970) 313-2733

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $43.

Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.

Last reported payment date: 2023-06-06 • Largest payer in this snapshot: GENZYME CORPORATION ($27).

Total Amount

$43

General + Research + Ownership

Payments

2

Total payment records

General Amount

$43

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-12-07

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091207000689IDermatologyCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths1,031192$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg86374$0
17000Destruction of precancer skin growth, 1 growth303262$0
99213Established patient office or other outpatient visit, 20-29 minutes212191$0
17004Destruction of precancer skin growth, 15 or more growths202137$0
View full utilization report →

Insurance plans in this area (ZIP 80634)

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Provider's Procedures

DR. MARY A BLATTNER (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYCO17003Destruction of 2-14 skin growths2532485

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638208549View full group profile
NameSpecialtyState
Pulmonary DiseaseCO
-CO
-CO
-MO
Physician AssistantCO
-CO
Hospitalist, Internal MedicineNY
Physician AssistantCO
Physician AssistantCO
Nurse PractitionerCO

Reviews

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Frequently asked questions

Can I cross-check DR. MARY A BLATTNER (MD) using NPI 1205813193?
NPI 1205813193 belongs to DR. MARY A BLATTNER (MD); compare other details if you need extra assurance.
Is there an active status for DR. MARY A BLATTNER (MD)?
For scheduling context, DR. MARY A BLATTNER (MD) is shown as active in the registry.
What clinical focus is listed for DR. MARY A BLATTNER (MD)?
At a glance, DR. MARY A BLATTNER (MD) is tied to Dermatology Physician. Clinical services aligned with this taxonomy classification.
Is DR. MARY A BLATTNER (MD) located near Greeley?
DR. MARY A BLATTNER (MD) currently maps to Greeley, Colorado in this extract.
When was this NPI issued?
Enumeration for DR. MARY A BLATTNER (MD) is noted as December 30, 2005 where the registry provides it.

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