DR. HERMAN MACK BLANTON M.D.
NPI 1255391413
Hospitalist in Evansville, IN

NPI Status: Active since March 23, 2006

Contact Information

600 MARY ST
EVANSVILLE, IN
ZIP 47710
Phone: (812) 450-7338
Fax: (812) 450-2193

Get Directions Reviews

  • Individual
  • Male
  • Hospitalist
  • Accepts Insurance
  • PECOS Enrolled

About HERMAN BLANTON

This page provides the complete NPI Profile along with additional information for Herman Blanton, a provider established in Evansville, Indiana with a medical specialization in Hospitalist. The healthcare provider is registered in the NPI registry with number 1255391413 assigned on March 2006. The practitioner's primary taxonomy code is 208M00000X with license number 01077468A (IN). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1255391413
Provider Name
DR. HERMAN MACK BLANTON M.D.
Gender
Male
Entity Type
Individual
Location Address
600 MARY ST EVANSVILLE, IN 47710
Location Phone
(812) 450-7338
Location Fax
(812) 450-2193
Mailing Address
PO BOX 3407 EVANSVILLE, IN 47733
Mailing Phone
(812) 450-7338
Mailing Fax
(812) 450-2193
Is Sole Proprietor?
No
Enumeration Date
03-23-2006
Last Update Date
08-24-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospitalist

Taxonomy Code
208M00000X
Type
Allopathic & Osteopathic Physicians
License No.
01077468A
License State
IN
Taxonomy Description
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Select Drugs - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
8V4241OTHER (01)TXBCBS TX
1255391413OTHER (01)TXSCOTT AND WHITE HEALTH PLAN
033102705MEDICAID (05)TX 
8G9716MEDICARE PIN (08)TX 
P00466542MEDICARE PIN (08)TX 
P00466542OTHER (01)TXRR MEDICARE
C13530MEDICARE UPIN (02)TX 

Medicare Participation & PECOS Enrollment Status

Herman Blanton is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 47710 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $122.49
  • Minimum New Patient Price $53.07
  • Maximum New Patient Price $161.76
  • Average New Patient Copayment $30.62
  • Minimum New Patient Copayment $13.26
  • Maximum New Patient Copayment $40.44

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $94.22
  • Minimum Established Patient Price $16.93
  • Maximum Established Patient Price $132.22
  • Average Established Patient Copayment $23.55
  • Minimum Established Patient Copayment $4.23
  • Maximum Established Patient Copayment $33.05

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. HERMAN MACK BLANTON M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255391413
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2210569242
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 6 + 9 + 2 + 4 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1255391413 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1336119593DR. MICHAEL EARL SCHEINOST DO
Individual
Hospitalist600 MARY ST
EVANSVILLE, IN 47710
(812) 450-7338
1922051275 KEVIN M KERNEK M.D.
Individual
Pathology (Clinical Pathology/Laboratory Medicine)600 MARY ST
EVANSVILLE, IN 47710
(812) 450-3344
1831391176DR. JOHN C MEUNIER M.D.
Individual
Hospitalist600 MARY ST
EVANSVILLE, IN 47710
(812) 450-7338
1376723510SOUTHWEST INDIANA PATHOLOGISTS, LLC
Organization
Pathology (Anatomic Pathology & Clinical Pathology)600 MARY ST
EVANSVILLE, IN 47710
(812) 450-3344
1114185519 ALIFIA MANSOOR KHAN MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)600 MARY ST PATHOLOGY DEPT.
EVANSVILLE, IN 47710
(812) 450-3344
1609038868 CHAD E LINK M.D.
Individual
Hospitalist600 MARY ST
EVANSVILLE, IN 47710
(812) 450-7338
1235391491 JAMIE L DAVISON M.D.
Individual
Hospitalist600 MARY ST
EVANSVILLE, IN 47710
(812) 450-7338
1225260573 DAWN MARIE SPONN SLP
Individual
Speech-Language Pathologist600 MARY ST
EVANSVILLE, IN 47710
(812) 450-6086
1942532437 JESSICA L HOESLI PA-C
Individual
Physician Assistant600 MARY ST EVANSVILLE
EVANSVILLE, IN 47710
(812) 450-7338
1700176104 JESSICA KATE EDWARDS CCP
Individual
Perfusionist600 MARY ST
EVANSVILLE, IN 47710
(812) 450-2719
1720097017MS. DELIGHT J GRISWOLD NP MSN APN BC
Individual
Nurse Practitioner600 MARY ST
EVANSVILLE, IN 47710
(812) 450-3405
1124150685DR. DAVID ANDREW FISH M.D.
Individual
Anesthesiology600 MARY ST
EVANSVILLE, IN 47710
(812) 450-2240
1255530317 APRIL M.S. TOELLE D.O.
Individual
Hospitalist600 MARY ST
EVANSVILLE, IN 47710
(812) 450-7338
1174752109 EMANUELA DIDITA M.D.
Individual
Hospitalist600 MARY ST
EVANSVILLE, IN 47710
(812) 450-7338
1558352021DR. ANDREW LLOYD PEIRCE HOUSEMAN M.D., PH.D.
Individual
Emergency Medicine600 MARY ST
EVANSVILLE, IN 47710
(812) 450-3405
1497069926DR. ELVIRA CANE MD
Individual
Hospitalist600 MARY ST
EVANSVILLE, IN 47710
(812) 450-7338
1821251471DR. CHERYL LYNNE THOMAS MD
Individual
Emergency Medicine600 MARY ST
EVANSVILLE, IN 47710
(812) 450-3405
1265683635DR. RACHEL C LACKEY M.D.
Individual
Hospitalist600 MARY ST
EVANSVILLE, IN 47710
(812) 450-7338
1770863342 LINDSEY N BOWERS PA
Individual
Physician Assistant600 MARY ST
EVANSVILLE, IN 47710
(812) 450-3405
1720156235 STEVEN W COOK CRNA
Individual
Nurse Anesthetist, Certified Registered600 MARY ST
EVANSVILLE, IN 47710
(812) 450-3044

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255391413, enumerated in the NPI registry as an "individual" on March 23, 2006

The provider is located at 600 Mary St Evansville, In 47710 and the phone number is (812) 450-7338

The provider's speciality is Hospitalist with taxonomy code 208M00000X

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, CareSource,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $122.49 with an average copayment of $30.62 for new patient appointments. Established patients should expect a typical charge of $94.22 and an average copayment of 23.55. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on March 23, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.