Jeffery James Blonsky, M.D.
Individual provider Active NPI Gastroenterology Physician · Tulsa, OK
NPI 1609896596 · NPPES record last updated Aug 11, 2014
Key facts
- NPI
- 1609896596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 30250 (OK)
- Practice address
- 10507 E 91St St # 270
Tulsa, OK 74133-5589 - Phone
- (918) 307-5480
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 34
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Oklahoma College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cherokee Nation
Creek Nation Hospital and Clinics
Adult Gastroenterology Associates Inc
Practice addresses (Care Compare)
100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100
10109 E 79TH St
Tulsa, OK 74133-4564
Phone (918) 756-4333
333 S 38TH St
Suite H
Muskogee, OK 74401-4937
Phone (918) 438-7050
4150 SE Adams Rd
Bartlesville, OK 74006-8410
Phone (918) 438-7050
Hospital & facility affiliations
- Oklahoma Surgical Hospital, LLC
- Cherokee Nation W W Hastings Indian Hospital
- Bailey Medical Center, LLC
- Muscogee (Creek) Nation Medical Center
- Saint Francis Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.37 of 100
- Quality
- 75.14
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 74.42
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.91 of 100
- Quality
- 76.55
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.12 of 100
- Quality
- 83.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 56.64
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.4 of 100
- Quality
- 72.78
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.77
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 120 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 187 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OK, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140625000783 | OK | Practitioner - Gastroenterology |
4880881861 | Reassigns benefits to 3 organizations |
| I20221118001507 | TX | Practitioner - Internal Medicine |
4880881861 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-31177 | KS | MD | Gastroenterology Physician |
| 11673 | ND | MD | Gastroenterology Physician |
| 30250 | OK | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creek Nation Hospital & Clinics | Gastroenterology | Current |
Accepting new patients |
| Stillwater Medical Center Authority | Current |
Accepting new patients | |
| Cherokee Nation | Current |
Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Adult Gastroenterology Associates Inc | Gastroenterology | Current |
Accepting new patients |
| Anesthesia Associates of Oklahoma PLLC | Current | Accepting new patients | |
| Stillwater Medical Center Authority | Gastroenterology | Current |
Accepting new patients |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current |
Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current |
Accepting new patients | |
| Creek Nation Hospital & Clinics | Current |
Accepting new patients | |
| Cherokee Nation | Past | Accepting new patients | |
| Oklahoma Surgical Hospital, LLC | Past | Accepting new patients | |
| Cherokee Nation | Past | Accepting new patients | |
| Bailey Medical Center, LLC | Past | Accepting new patients |
Locations
4150 SE Adams Rd
Bartlesville, OK 74006
Phone (918) 331-9979
859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271
1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201
1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192
1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770
900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500
1301 W 6th Ave
Ste 108
Stillwater, OK 74074
Phone (405) 533-1695
100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100
6465 S Yale Ave
Ste 1002
Tulsa, OK 74136
Phone (918) 481-4700
Dept 1467
Tulsa, OK 74182
4200 E Skelly Dr
Ste 700
Tulsa, OK 74135
Phone (918) 438-7050
Dept 1038
Tulsa, OK 74182
Dept 2269
Tulsa, OK 74182
10507 E 91st St
Ste 270
Tulsa, OK 74133
Phone (918) 307-5480
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800
Interoperability endpoints
- https://epicproxy.ardenthealth.com/fhir/BMC/api/FHIR/R4
- https://fhir-myrecord.cerner.com/r4/37d0fa6b-e0f7-4581-adbb-f9e2eac855e1/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 04-31177 | KS | |
| Gastroenterology Physician | 207RG0100X | 11673 | ND | |
| Gastroenterology Physician | 207RG0100X | 30250 | OK | Yes |
Addresses
Primary practice location
10507 E 91St St # 270
Tulsa, OK 74133-5589
Mailing address
6465 S Yale Ave Ste 1002
Tulsa, OK 74136-7812
Phone (918) 481-4700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200536180A | Medicaid | OK | |
| 15750 | Medicaid | ND |
Other providers in Tulsa, OK
- Sarah Ann Bliss
- Julie Blizzard
- BLJ Counseling and Consulting PC
- Douglas E. Block
- Abby Laine Blondin
- Bloom Pediatrics PLLC
- Rebecca A Bloom
- Laura Thornton Bloomfield
- Kara Blosch
- Michael Blose
All providers in Tulsa, OK · Gastroenterology Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.