Individual provider Active NPI

Sean Matthew Blaydon, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Austin, TX
National Provider Identifier
1730170622
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
K4374 Issued in TX
Practice address
3705 Medical Pkwy
Suite 120
Austin, TX 78705-1019
Phone
(512) 458-2141
Fax
(512) 458-4824
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X K4374 TX
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X K4374 TX Primary

Addresses

Primary practice location

3705 Medical Pkwy
Suite 120
Austin, TX 78705-1019

Mailing address

3705 Medical Pkwy
Suite 120
Austin, TX 78705-1019
Phone (512) 458-2141

Other identifiers 1

IdentifierTypeStateIssuer
047566701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040803000475 TX Practitioner - Ophthalmology 9133190291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Oculoplastic Consultants LLPGroup PAC ID 3173594249, 12 clinicians

Practice addresses (Care Compare)

3705 Medical Pkwy
Suite 120
Austin, TX 78705-1022
Phone (512) 457-2141

Hospital & facility affiliations

  • Ascension Seton Medical Center Austin Hospital, Austin, TX, CCN 450056

Merit-based Incentive Payment System (MIPS)

Final score
59.02 of 100Reported as individual
Quality
18.04
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K4374TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oculoplastic Consultants LLP Ophthalmic Plastic and Reconstructive Surgery CurrentSince Jul 1, 2004 Accepting new patients
Center for Aesthetic and Reconstructive Eyelid and Orbital Surgery CurrentSince Mar 20, 2013 Accepting new patients
Texas Oculoplastic Consultants LLP Ophthalmology CurrentSince Jul 1, 2004 Accepting new patients
Texan Eye, PA Ophthalmology Past Accepting new patients
Eye Clinic of Austin PLLC Ophthalmology Past Accepting new patients

Locations

4207 James Casey St
Ste 306
Austin, TX 78745
Phone (512) 447-6096

3705 Medical Pkwy
Ste 120
Austin, TX 78705
Phone (512) 457-2141

1130 Cottonwood Creek Trl
Ste C4
Cedar Park, TX 78613

Interoperability endpoints

  • Direct secure messaging: sblaydonmd@direct.tocaustin.nextgenshare.com

Organizations & group practices 5

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

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1730170622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY",
            "address_2": "SUITE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051019",
            "telephone_number": "512-458-2141",
            "fax_number": "512-458-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY",
            "address_2": "SUITE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051019",
            "telephone_number": "512-458-2141",
            "fax_number": "512-458-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAYDON",
        "first_name": "SEAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "K4374",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "K4374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047566701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.