EDWARD A BLANZY (DO) – Urology Physician, NPI 1740332600
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
469 UROLOGY in MI
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Provider Addresses for EDWARD A BLANZY (DO)
20952 E 12 MILE RD
STE 200
SAINT CLAIR SHORES, MI 480813203
Phone: (586) 771-4820
Fax: (586) 771-7960
Type: Mailing
3231, West Road, Trenton, Wayne County, Michigan, 48183, United States
TRENTON SURGICAL BUILDING
TRENTON, MI 481832399
Phone: (734) 775-4972
Fax: (734) 676-2032
Type: Location
351, South Military Street, Riverbend, Dearborn, Wayne County, Michigan, 48124, United States
DEARBORN, MI 481241061
Phone: (313) 278-5189
Fax: (313) 298-2911
Type: Mailing
19117 ALLEN RD STE A
BROWNSTOWN TWP, MI 481831066
Phone: (734) 676-4040
Fax: (734) 676-9897
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 70 Open Payments records for all available years, with a total value of $1,691.
Total Amount is formed as General ($1,691) + Research ($0) + Ownership ($0) = $1,691.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Medtronic, Inc. ($267).
Total Amount
$1,691
General + Research + Ownership
Payments
70
Total payment records
General Amount
$1,691
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $267 |
| Halozyme Inc | $243 |
| Dendreon Pharmaceuticals LLC | $136 |
| Myriad Genetic Laboratories, Inc. | $123 |
| Janssen Scientific Affairs, LLC | $110 |
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: 2022-03-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220311000813 | I | Urology | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 302 | 180 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 278 | 164 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 243 | 151 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 85 | 85 | $0 |
| 76770 | Complete ultrasound scan behind abdominal cavity | 39 | 26 | $0 |
Insurance plans in this area (ZIP 48081)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MI | |
| Emergency Medicine | IL | |
| General Surgery | MI | |
| - | MI | |
| Family Practice | MI | |
| Emergency Medicine | WA | |
| Emergency Medicine | MI | |
| Nurse Practitioner | MI | |
| Emergency Medicine | MI | |
| Family Practice | MI |
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