DR. MARK A BLAIR D.M.D.
NPI 1790805562
Dentist - General Practice in Louisville, KY

NPI Status: Active since March 29, 2007

Contact Information

3101 BRECKENRIDGE LN
1-D
LOUISVILLE, KY
ZIP 40220
Phone: (502) 458-0172
Fax: (502) 458-4621

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  • Individual
  • Male
  • Dentist
  • General Practice
  • Accepts Insurance
  • PECOS Enrolled

About MARK BLAIR

This page provides the complete NPI Profile along with additional information for Mark Blair, a provider established in Louisville, Kentucky with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1790805562 assigned on March 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 4851 (KY). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1790805562
Provider Name
DR. MARK A BLAIR D.M.D.
Gender
Male
Entity Type
Individual
Location Address
3101 BRECKENRIDGE LN 1-D LOUISVILLE, KY 40220
Location Phone
(502) 458-0172
Location Fax
(502) 458-4621
Mailing Address
3101 BRECKENRIDGE LN 1-D LOUISVILLE, KY 40220
Mailing Phone
(502) 458-0172
Mailing Fax
(502) 458-4621
Is Sole Proprietor?
Yes
Enumeration Date
03-29-2007
Last Update Date
07-08-2007
Code Navigator

A dentist like Mark Blair is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

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

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
4851
License State
KY
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Insurance Plans Accepted

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

  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO

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

Medicare Participation & PECOS Enrollment Status

Mark Blair 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) and a Home Health Agency (HHA).

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: No

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 40220 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $82.24
  • Minimum New Patient Price $52.76
  • Maximum New Patient Price $162.27
  • Average New Patient Copayment $20.56
  • Minimum New Patient Copayment $13.19
  • Maximum New Patient Copayment $40.56

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66.24
  • Minimum Established Patient Price $16.53
  • Maximum Established Patient Price $131.99
  • Average Established Patient Copayment $16.56
  • Minimum Established Patient Copayment $4.13
  • Maximum Established Patient Copayment $32.99

* 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. MARK A BLAIR D.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.
1790805562
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2718016010512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 6 + 0 + 1 + 0 + 5 + 1 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1790805562 is valid because the calculated check digit 2 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
1053312066 RICHARD A PAPE DMD MS
Individual
Dentist (Oral and Maxillofacial Surgery)3101 BRECKENRIDGE LN STE 2D
LOUISVILLE, KY 40220
(502) 459-8012
1336140862 WILLIAM M EPSTEIN DMD
Individual
Dentist (Oral and Maxillofacial Surgery)3101 BRECKENRIDGE LN STE 2D
LOUISVILLE, KY 40220
(502) 459-8012
1245231778 THEODORE E LOGAN JR. DMD
Individual
Dentist (Oral and Maxillofacial Surgery)3101 BRECKENRIDGE LN STE 2D
LOUISVILLE, KY 40220
(502) 459-8012
1154322683 JULIE M HARRIS DMD
Individual
Dentist (Oral and Maxillofacial Surgery)3101 BRECKENRIDGE LN STE 2D
LOUISVILLE, KY 40220
(502) 459-8012
1558358762 TODD G KUKUCK CRNA
Individual
Nurse Anesthetist, Certified Registered3101 BRECKENRIDGE LN SUITE 1A
LOUISVILLE, KY 40220
(502) 458-7400
1245227396 JOAN M DEENER CRNA
Individual
Nurse Anesthetist, Certified Registered3101 BRECKENRIDGE LN SUITE 1A
LOUISVILLE, KY 40220
(502) 458-7400
1982691028 MARK R BEHR MD
Individual
Anesthesiology3101 BRECKENRIDGE LN SUITE 1A
LOUISVILLE, KY 40220
(502) 458-7400
1376530428 SANDRA D BAILEY CRNA
Individual
Nurse Anesthetist, Certified Registered3101 BRECKENRIDGE LN SUITE 1A
LOUISVILLE, KY 40220
(502) 458-7400
1215924246 ALDIS E NORGELLO CRNA
Individual
Nurse Anesthetist, Certified Registered3101 BRECKENRIDGE LN SUITE 1A
LOUISVILLE, KY 40220
(502) 458-7400
1457348484 CHRISTOPHER C EHRLER CRNA
Individual
Nurse Anesthetist, Certified Registered3101 BRECKENRIDGE LN SUITE 1A
LOUISVILLE, KY 40220
(502) 458-7400
1629065651 KATHRYN A PIOTROWSKI CRNA
Individual
Nurse Anesthetist, Certified Registered3101 BRECKENRIDGE LN SUITE 1A
LOUISVILLE, KY 40220
(502) 458-7400
1669457115 KENNETH M RICHTER MD
Individual
Anesthesiology3101 BRECKENRIDGE LN SUITE 1A
LOUISVILLE, KY 40220
(502) 458-7400
1164400701ANESTHESIOLOGY ASSOCIATES PSC
Organization
Anesthesiology3101 BRECKENRIDGE LN SUITE 1A
LOUISVILLE, KY 40220
(502) 458-7400
1508831561 DIANA MARIE BANKS ARNP, CDE
Individual
Nurse Practitioner (Family)3101 BRECKENRIDGE LN 4E
LOUISVILLE, KY 40220
(502) 454-5252
1679640114 MYRON F SHUSTER DMD
Individual
Dentist (Pediatric Dentistry)3101 BRECKENRIDGE LN SUITE 4B
LOUISVILLE, KY 40220
(502) 451-1020
1598898413DR. JENNIFER LYNN WRIGHT DDS
Individual
Dentist (General Practice)3101 BRECKENRIDGE LN SUITE 2A
LOUISVILLE, KY 40220
(502) 451-5222
1043336936 HERSHEL WEINBERG DDS
Individual
Dentist (General Practice)3101 BRECKENRIDGE LN SUITE 2A
LOUISVILLE, KY 40220
(502) 451-5222
1811170939 ANTHONY KELTY
Individual
Nurse Anesthetist, Certified Registered3101 BRECKENRIDGE LN SUITE 1A
LOUISVILLE, KY 40220
(502) 458-7400
1134288434MYRON F SHUSTER, DMD
Organization
Dentist (Pediatric Dentistry)3101 BRECKENRIDGE LN SUITE 4B
LOUISVILLE, KY 40220
(502) 451-1020
1649271263GREATER LOUISVILLE ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, PSC
Organization
Dentist (Oral and Maxillofacial Surgery)3101 BRECKENRIDGE LN STE 2D
LOUISVILLE, KY 40220
(502) 459-8012

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790805562, enumerated in the NPI registry as an "individual" on March 29, 2007

The provider is located at 3101 Breckenridge Ln 1-d Louisville, Ky 40220 and the phone number is (502) 458-0172

The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. 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) and a Home Health Agency (HHA).

Medicare beneficiaries should expect a typical cost of $82.24 with an average copayment of $20.56 for new patient appointments. Established patients should expect a typical charge of $66.24 and an average copayment of 16.56. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on March 29, 2007. 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.