MR. ALAN L JR. BLANKENSHIP (MD) – Emergency Medicine Physician, NPI 1528358025

MR. ALAN L JR. BLANKENSHIP (MD) is a healthcare provider. based in Ft worth, Texas. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. P4424 (TX). The NPI Number for MR. ALAN L JR. BLANKENSHIP (MD) is 1528358025

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MR. ALAN L JR. BLANKENSHIP (MD)
NPI
1528358025
Phone
(817) 496-9700
Address
6451 BRENTWOOD RD
Enumeration Date
18 April 2011
Last Update Date
7 January 2015

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
7192033300
Graduation Year
2011 (15 years ago)
PAC ID
0446475016
Group Practice PAC ID
4981988953
Professional Enrollment ID
I20240419002807
Address ID
CO809201562CO8115XPKWY300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:15State licenses:1Digital endpointsOther names

4,050 EMERGENCY MEDICINE in TX

Provider Addresses for MR. ALAN L JR. BLANKENSHIP (MD)

  • 6451 BRENTWOOD RD

    STE 200

    FT WORTH, TX 76112

    Phone: (817) 496-9700

    Type: Mailing

  • 2700 E BROAD ST

    MANSFIELD, TX 76063

    Phone: (682) 622-2000

    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: 2024-04-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20140716000312IEmergency MedicineTXTBD
I20240419002807IEmergency MedicineCOTBD

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
99285Emergency department visit with high level of medical decision making149148$0
99284Emergency department visit with moderate level of medical decision making105102$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only9183$0
99283Emergency department visit with low level of medical decision making2323$0
99291Critical care, first 30-74 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 76112)

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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: 4981988953View full group profile
NameSpecialtyState
Emergency MedicineCO
Emergency MedicineCO
Emergency MedicineCO
Emergency MedicineAE
Hospitalist, Emergency MedicineCO
Emergency MedicineCO
-CO
Emergency Medicine, Family PracticeNC

Reviews

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Frequently asked questions

How do payers reference MR. ALAN L JR. BLANKENSHIP (MD)?
For MR. ALAN L JR. BLANKENSHIP (MD), use NPI 1528358025 as the unique 10-digit identifier.
Is there an active status for MR. ALAN L JR. BLANKENSHIP (MD)?
For scheduling context, MR. ALAN L JR. BLANKENSHIP (MD) is shown as active in the registry.
What kind of doctor is MR. ALAN L JR. BLANKENSHIP (MD)?
MR. ALAN L JR. BLANKENSHIP (MD) is associated with Emergency Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is MR. ALAN L JR. BLANKENSHIP (MD) associated with Ft Worth?
Public fields place MR. ALAN L JR. BLANKENSHIP (MD) around Ft Worth, Texas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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