JAMES BLAUGRUND – Otolaryngology Physician, NPI 1831162312
Otolaryngology Physician
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Profile Insights
NPPES metrics only — not quality of care.
641 OTOLARYNGOLOGY in PA
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Provider Addresses for JAMES BLAUGRUND
McKnight Road, Summer Hill, Pittsburgh, Allegheny County, Pennsylvania, 15214, United States
SUITE 130
PITTSBURGH, PA 152376004
Phone:
Type: Mailing
Gastroenterology Associates of Pittsburgh, 3285, Babcock Boulevard, Laurel Gardens, Ross Township, Allegheny County, Pennsylvania, 15237, United States
UPMC PASSAVANT PROFESSIONAL BLDG SUITE 3112
PITTSBURGH, PA 152375818
Phone: (412) 366-3889
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2003-11-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031111000384 | I | Otolaryngology | PA | 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 |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 797 | 25 | $0 |
| 69210 | Removal of impacted ear wax | 208 | 145 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 208 | 181 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 170 | 170 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 151 | 130 | $0 |
Insurance plans in this area (ZIP 15237)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | PA | |
| - | PA | |
| P S Y C H I A T R Y | PA | |
| - | PA | |
| Critical Care (Intensivists), Internal Medicine, Pulmonary Disease | PA | |
| Internal Medicine | PA | |
| - | PA | |
| - | PA | |
| Internal Medicine | PA | |
| Internal Medicine | PA |
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