DR. WANDA P BLANTON (M.D.) – Gastroenterology Physician, NPI 1417123431

DR. WANDA P BLANTON (M.D.) is a healthcare provider. based in Stoneham, Massachusetts. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. 235965 (MA). The NPI Number for DR. WANDA P BLANTON (M.D.) is 1417123431

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. WANDA P BLANTON (M.D.)
NPI
1417123431
Phone
(781) 213-5200
Address
51 MONTVALE AVE
Enumeration Date
30 April 2008
Last Update Date
13 January 2014

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
7812135200
Graduation Year
2002 (24 years ago)
PAC ID
8729149752
Group Practice PAC ID
4385638782
Professional Enrollment ID
I20081209000229
Address ID
MA021802417ST51XXXAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

829 GASTROENTEROLOGY in MA

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Provider Addresses for DR. WANDA P BLANTON (M.D.)

  • Hallmark Health Stoneham Outpatient Campus, 51, Montvale Avenue, Nobility Hill Historic District, Lindenwood, Stoneham, Middlesex County, Massachusetts, 02180, United States

    STONEHAM, MA 021802417

    Phone: (781) 213-5200

    Fax: (781) 481-9016

    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 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Boston Scientific Corporation ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2008-12-09

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
I20081209000229IGastroenterologyMATBD

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 minutes295228$0
45380Biopsy of large bowel using a flexible endoscope128128$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope8077$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare6261$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5944$0
View full utilization report →

Insurance plans in this area (ZIP 02180)

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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: 4385638782View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Interventional CardiologyMA
-MA
O B S T E T R I C S/ G Y N E C O L O G YMA
-MA
Family PracticeNM
-MA
-MA
Family PracticeMA
-MA
Physician AssistantMA

Reviews

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Frequently asked questions

What identifier follows DR. WANDA P BLANTON (M.D.) across health systems?
The NPI 1417123431 uniquely identifies DR. WANDA P BLANTON (M.D.) in U.S. healthcare data.
Does the public listing show DR. WANDA P BLANTON (M.D.) as active?
DR. WANDA P BLANTON (M.D.)'s NPI record reflects an active status in NPPES.
What services align with DR. WANDA P BLANTON (M.D.)'s listing?
DR. WANDA P BLANTON (M.D.)'s public classification highlights Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Is DR. WANDA P BLANTON (M.D.) tied to Stoneham, Massachusetts?
If you are local to Stoneham, Massachusetts, DR. WANDA P BLANTON (M.D.) may be relevant to your search.
Why is information missing for DR. WANDA P BLANTON (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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