DR. RONALD WILLIAM BLAIR (D.O.) – Surgery Physician, NPI 1114947389

DR. RONALD WILLIAM BLAIR (D.O.) is a healthcare provider. based in Twin falls, Idaho. specializing in GENERAL SURGERY. They hold the professional credentials D.O.. They hold a License No. O-488 (ID). The NPI Number for DR. RONALD WILLIAM BLAIR (D.O.) is 1114947389

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. RONALD WILLIAM BLAIR (D.O.)
NPI
1114947389
Phone
(208) 811-7400
Address
PO BOX 587
Enumeration Date
20 July 2006
Last Update Date
9 December 2014

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
4486756392
Group Practice PAC ID
4981878402
Professional Enrollment ID
I20081018000112
Address ID
ID836426355ME520XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

191 GENERAL SURGERY in ID

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Provider Addresses for DR. RONALD WILLIAM BLAIR (D.O.)

  • PO BOX 587

    TWIN FALLS, ID 833030587

    Phone: (208) 811-7400

    Fax: (208) 814-7491

    Type: Mailing

  • 775, Pole Line Road West, Twin Falls, Twin Falls County, Idaho, 83301, United States

    SUITE 212

    TWIN FALLS, ID 833015814

    Phone: (208) 814-8400

    Fax: (208) 734-3045

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $10,619.

Total Amount is formed as General ($10,619) + Research ($0) + Ownership ($0) = $10,619.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($10,470).

Total Amount

$10,619

General + Research + Ownership

Payments

12

Total payment records

General Amount

$10,619

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2008-10-18

PECOS data refreshed: 2026-05-27

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
I20081018000112IGeneral SurgeryIDTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1818$0
99213Established patient office or other outpatient visit, 20-29 minutes1614$0
View full utilization report →

Insurance plans in this area (ZIP 83303)

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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: 4981878402View full group profile
NameSpecialtyState
Family PracticeME
Internal MedicineID
Family PracticeID
-TX
-OR
Hand SurgeryID
-ID
Nurse PractitionerID
Physician AssistantID
General SurgeryID

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Frequently asked questions

Is DR. RONALD WILLIAM BLAIR (D.O.) listed with a National Provider Identifier?
Yes — DR. RONALD WILLIAM BLAIR (D.O.) has NPI 1114947389 on file in the registry.
Is DR. RONALD WILLIAM BLAIR (D.O.) shown as active in public data?
Registry records indicate DR. RONALD WILLIAM BLAIR (D.O.) maintains an active NPI.
How would a patient describe DR. RONALD WILLIAM BLAIR (D.O.)'s focus?
For DR. RONALD WILLIAM BLAIR (D.O.), the primary taxonomy reads as Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. RONALD WILLIAM BLAIR (D.O.)?
Directory geography for DR. RONALD WILLIAM BLAIR (D.O.) centers on Twin Falls, Idaho.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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