MR. PATRICK TYSON BLATCHFORD (MD) – Surgery Physician, NPI 1003073602

MR. PATRICK TYSON BLATCHFORD (MD) is a healthcare provider. based in Arkansas city, Kansas. specializing in Surgery Physician. They hold the professional credentials MD. They hold a License No. 0116015702 (VA). The NPI Number for MR. PATRICK TYSON BLATCHFORD (MD) is 1003073602

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
MR. PATRICK TYSON BLATCHFORD (MD)
NPI
1003073602
Phone
(620) 441-4108
Address
119 E CHESTNUT AVE
Enumeration Date
21 May 2008
Last Update Date
31 January 2022

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
6204422500
Graduation Year
2003 (23 years ago)
PAC ID
0446318984
Group Practice PAC ID
1456245802
Professional Enrollment ID
I20081028000024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

Provider Addresses for MR. PATRICK TYSON BLATCHFORD (MD)

  • 119 E CHESTNUT AVE

    ARKANSAS CITY, KS 670052200

    Phone: (620) 441-4108

    Fax: (620) 741-5093

    Type: Location

  • 1107, Holly Street, Russellville, Pope County, Arkansas, 72802, United States

    ARKANSAS CITY, KS 67005

    Phone: (620) 442-2500

    Fax: (620) 441-5971

    Type: Mailing

  • South Central Kansas Medical Center, 6401, Patterson Parkway, Arkansas City, Cowley County, Kansas, 67005, United States

    ARKANSAS CITY, KS 67005

    Phone: (620) 442-2500

    Fax: (620) 441-5971

    Type: Location

  • 6401 Patterson Pkwy

    Arkansas City, KS 67005

    Phone: (620) 442-2500

    Fax: (620) 441-5971

    Type: Location

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 $54.

Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.

Last reported payment date: 2023-06-28 • Largest payer in this snapshot: Smith+Nephew, Inc. ($54).

Total Amount

$54

General + Research + Ownership

Payments

2

Total payment records

General Amount

$54

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Smith+Nephew, Inc.$54
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: 2008-10-28

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
I20081028000024IGeneral SurgeryKSTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3925$0
99284Emergency department visit with moderate level of medical decision making2726$0
99283Emergency department visit with low level of medical decision making2624$0
99214Established patient office or other outpatient visit, 30-39 minutes1511$0
99285Emergency department visit with high level of medical decision making1212$0
View full utilization report →

Insurance plans in this area (ZIP 67005)

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Provider's Procedures

MR. PATRICK TYSON BLATCHFORD (MD) performs procedures in Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYKS45378Diagnostic examination of large bowel using an endoscope1413

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: 1456245802View full group profile
NameSpecialtyState
Family PracticeIA
Family PracticeKS
Certified Registered Nurse Anesthetist (Crna)KS
Orthopedic SurgeryKS
Nurse PractitionerKS
Nurse PractitionerKS
-KS
Physician AssistantKS
-OK
Physician AssistantKS

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Frequently asked questions

Where can patients find MR. PATRICK TYSON BLATCHFORD (MD)'s NPI?
You can confirm MR. PATRICK TYSON BLATCHFORD (MD) with NPI 1003073602; it appears in the national provider directory.
Is MR. PATRICK TYSON BLATCHFORD (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MR. PATRICK TYSON BLATCHFORD (MD)?
The page reflects Surgery Physician for MR. PATRICK TYSON BLATCHFORD (MD). Clinical services aligned with this taxonomy classification.
What location shows for MR. PATRICK TYSON BLATCHFORD (MD)?
We surface Arkansas City, Kansas for MR. PATRICK TYSON BLATCHFORD (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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