DR. JAMES WALLENTINE BLOTTER (M.D.) – Plastic Surgery within the Head & Neck (Otolaryngology) Physician, NPI 1962499673
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
123 OTOLARYNGOLOGY in UT
Provider Addresses for DR. JAMES WALLENTINE BLOTTER (M.D.)
400 East, North Logan, Cache County, Utah, 84341, United States
SUITE #D
NORTH LOGAN, UT 843411749
Phone: (435) 753-7880
Fax: (435) 753-5845
Type: Mailing
2245 N 400 E
STE 301
NORTH LOGAN, UT 843411892
Phone: (435) 753-7880
Fax: (435) 753-5845
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $258.
Total Amount is formed as General ($258) + Research ($0) + Ownership ($0) = $258.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Amgen Inc. ($82).
Total Amount
$258
General + Research + Ownership
Payments
13
Total payment records
General Amount
$258
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 |
|---|---|
| Amgen Inc. | $82 |
| Boston Scientific Corporation | $46 |
| Itamar Medical Inc | $34 |
| AstraZeneca Pharmaceuticals LP | $28 |
| GENZYME CORPORATION | $22 |
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: 2022-02-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100831000194 | I | Otolaryngology | UT | TBD |
| I20220221001256 | I | Otolaryngology | ID | 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 | 520 | 21 | $0 |
| 95115 | Professional service for single injection of allergen | 174 | 16 | $0 |
| 95117 | Professional service for multiple injections of allergen | 171 | 25 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 78 | 66 | $0 |
| 92567 | Test to assess middle ear function | 58 | 56 | $0 |
Insurance plans in this area (ZIP 84341)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | UT | |
| O T O L A R Y N G O L O G Y | UT | |
| O T O L A R Y N G O L O G Y | IA | |
| Physician Assistant | UT | |
| Physician Assistant | UT | |
| Physician Assistant | OH |
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