ROBERTA E BLANDON (M.D.) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1669450011

ROBERTA E BLANDON (M.D.) is a healthcare provider. based in Park ridge, Illinois. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 2001015985 (MO). The NPI Number for ROBERTA E BLANDON (M.D.) is 1669450011

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
ROBERTA E BLANDON (M.D.)
NPI
1669450011
Phone
(847) 825-1590
Address
1875 DEMPSTER ST STE 665
Enumeration Date
5 January 2006
Last Update Date
9 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8478251590
Graduation Year
1996 (30 years ago)
PAC ID
7416984844
Group Practice PAC ID
0840180303
Professional Enrollment ID
I20180914000035
Address ID
IL600681168PA1875XSTXX308
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,923 OBSTETRICS/GYNECOLOGY in IL

Provider Addresses for ROBERTA E BLANDON (M.D.)

  • 1875 DEMPSTER ST STE 665

    PARK RIDGE, IL 600681168

    Phone: (847) 825-1590

    Fax: (847) 825-1604

    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 35 Open Payments records for all available years, with a total value of $1,175.

Total Amount is formed as General ($1,175) + Research ($0) + Ownership ($0) = $1,175.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Axonics, Inc. ($285).

Total Amount

$1,175

General + Research + Ownership

Payments

35

Total payment records

General Amount

$1,175

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

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: 2018-09-14

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
I20180914000035IObstetrics/GynecologyILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes204154$0
99204New patient office or other outpatient visit, 45-59 minutes150150$0
99213Established patient office or other outpatient visit, 20-29 minutes132104$0
51701Insertion of temporary bladder tube8783$0
99443Telephone medical discussion with physician, 21-30 minutes5743$0
View full utilization report →

Insurance plans in this area (ZIP 60068)

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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: 0840180303View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YIL
Obstetrics/Gynecology, UrologyIL
O B S T E T R I C S/ G Y N E C O L O G YIL
Urology, Obstetrics/GynecologyIL
O B S T E T R I C S/ G Y N E C O L O G YIL

Reviews

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Frequently asked questions

Does ROBERTA E BLANDON (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ROBERTA E BLANDON (M.D.) uses 1669450011.
Does CMS list ROBERTA E BLANDON (M.D.) as active?
Yes — ROBERTA E BLANDON (M.D.) is active in the NPI listing used on this page.
What taxonomy line describes ROBERTA E BLANDON (M.D.)?
For research purposes, treat ROBERTA E BLANDON (M.D.) as Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect ROBERTA E BLANDON (M.D.) on a map?
Expect Park Ridge, Illinois as a primary anchor for ROBERTA E BLANDON (M.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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