JERRY R BLAIR (M.D., PH.D.) – Ophthalmology Physician, NPI 1790769701

JERRY R BLAIR (M.D., PH.D.) is a healthcare provider. based in Columbia, Missouri. specializing in Ophthalmology Physician. They hold the professional credentials M.D., PH.D.. They hold a License No. 108058 (MO). The NPI Number for JERRY R BLAIR (M.D., PH.D.) is 1790769701

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
JERRY R BLAIR (M.D., PH.D.)
NPI
1790769701
Phone
(573) 874-1616
Address
3600 AMRON CT
Enumeration Date
2 December 2005
Last Update Date
10 April 2017

Doctor Profile

Medical School Name
DUKE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5738741616
Graduation Year
1989 (37 years ago)
PAC ID
3678631330
Group Practice PAC ID
6507924263
Professional Enrollment ID
I20081111000317
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JERRY R BLAIR (M.D., PH.D.)

  • Amron Court, Columbia, Columbia Township, Boone County, Missouri, 65202, United States

    COLUMBIA, MO 652021918

    Phone: (573) 874-1616

    Fax: (573) 875-0300

    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 11 Open Payments records for all available years, with a total value of $324.

Total Amount is formed as General ($324) + Research ($0) + Ownership ($0) = $324.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($166).

Total Amount

$324

General + Research + Ownership

Payments

11

Total payment records

General Amount

$324

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2008-11-11

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081111000317IOphthalmologyMOTBD

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
J2777Injection, faricimab-svoa, 0.1 mg5,34024$0
J0178Injection, aflibercept, 1 mg1,052107$0
92134Imaging of retina1,022427$0
92012Established patient problem focused exam of visual system597237$0
67028Injection of drug into eye518115$0
View full utilization report →

Insurance plans in this area (ZIP 65202)

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Provider's Procedures

JERRY R BLAIR (M.D., PH.D.) performs procedures in Ophthalmology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYMO92134Diagnostic imaging of retina27411070

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: 6507924263View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMO
O P H T H A L M O L O G YMO

Reviews

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Frequently asked questions

What number should I use to identify JERRY R BLAIR (M.D., PH.D.) for billing?
Administrative and clinical systems typically use NPI 1790769701 for JERRY R BLAIR (M.D., PH.D.).
Is JERRY R BLAIR (M.D., PH.D.) currently accepting referrals based on NPI status?
Registry metadata lists JERRY R BLAIR (M.D., PH.D.) as active.
How should patients interpret JERRY R BLAIR (M.D., PH.D.)'s specialty?
The extract shows Ophthalmology Physician for JERRY R BLAIR (M.D., PH.D.). Clinical services aligned with this taxonomy classification.
Is JERRY R BLAIR (M.D., PH.D.) tied to Columbia, Missouri?
If you are local to Columbia, Missouri, JERRY R BLAIR (M.D., PH.D.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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