Individual provider Active NPI

Matthew Lewis Blair, D.O.

  • Otolaryngology Physician
  • Pensacola, FL
National Provider Identifier
1437461878
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
OS15400 Issued in FL
Practice address
4601 Spanish TRL
Pensacola, FL 32504-5039
Phone
(850) 990-9407
NPI assigned
Jul 13, 2010
Last updated
Jan 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X OS15400 FL Primary

Addresses

Primary practice location

4601 Spanish TRL
Pensacola, FL 32504-5039

Mailing address

4601 Spanish TRL
Pensacola, FL 32504-5039
Phone (850) 990-9407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181004002499 FL Practitioner - Otolaryngology 7315181971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Nova Southeastern College of Osteo Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Breathe Free Sinus and Allergy Centers of Florida LLCGroup PAC ID 5799174116, 3 clinicians

Practice addresses (Care Compare)

4601 Spanish TRL
Pensacola, FL 32504-5039
Phone (850) 990-9407

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.28 of 100Reported as individual
Quality
68.56
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Breathe Free Sinus & Allergy Centers of Florida LLC Otolaryngology CurrentSince Jul 1, 2021 Accepting new patients

Locations

4601 Spanish Trl
Pensacola, FL 32504
Phone (850) 969-2001

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1437461878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 SPANISH TRL",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045039",
            "telephone_number": "850-990-9407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 SPANISH TRL",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045039",
            "telephone_number": "850-990-9407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "MATTHEW",
        "middle_name": "LEWIS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-13",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "OS15400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.