NPI registry status
Active
2026 NPPES data Infectious Disease Physician NPI 1770767055
Verify on CMS → Edward Blanchard
Infectious Disease Physician in West Reading, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 8,537 in Infectious Disease Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
353
Medicare Part D claims · 85 beneficiaries · Infectious Disease Physician avg: 807
Generic prescribing
74%
generic claims · 26% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
86.1/100
▲ 3 pts above national avg 83.5 · Above neutral
Industry payments
$21.96
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Edward Blanchard reported a CMS MIPS final score of 86.1/100 - above the 83.5 national average - and filed 353 Medicare Part D claims in 2024.
- 86.1/100
- MIPS score · +3 vs avg
- 353
- Part D claims, 2024
- 74%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Edward Blanchard
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1770767055), first enumerated 12/22/2007.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 353 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 86.1/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$21.96 in reported industry payments (1 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Pennsylvania statewide board action statistics are published annually — these figures describe aggregate state activity, not Edward Blanchard's individual license status. Verify directly with the state medical board.
Source: PA-BOM annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1770767055 · Infectious Disease Physician
NPI-10 · ENUM-MID · TAX-MID · MIPS-INLINE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1770767055
- ENUM-MID 2007
- TAX-MID 9K Infectious Disease
- MIPS-INLINE 86.1/100
- RX-LIGHT 353
- BOOK-THIN 444 in Pennsylvania
- PHOTO-FINISH Oladunni Adeyiga · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Blanchard · this…
Blanchard · this provider
86.1 MIPS pts
- Timothy Brewer ·…
Timothy Brewer
86.1 MIPS pts
- Devayani Namassi…
Devayani Namassivaya
86.1 MIPS pts
- Oladunni Adeyiga…
Oladunni Adeyiga
86.1 MIPS pts
- Paul Allyn · near
Paul Allyn
86.1 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Edward Blanchard's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
86 ≥ 49th percentile 49% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Edward Blanchard sits
This provider among infectious disease physician peers
Across the 2,130 infectious disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Edward Blanchard writes more Part D claims than 49% of them and scores higher on MIPS quality than 52% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one infectious disease physician peer from a representative sample of 60; the gold marker is Edward Blanchard. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Edward Blanchard practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Edward Blanchard?
High performer (top quartile)Primary specialty
Infectious Disease Physician
Medicare Part D claims
353 56% vs specialty avg
MIPS final score
86.1/100 2.6 pts vs avg
Specialty distribution in Pennsylvania
How Infectious Disease Physician compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Edward Blanchard's 2023 MIPS final score plotted against the Infectious Disease Physician national average
- MIPS Final Score
- 86.1/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1770767055 |
|---|---|
| Specialty | Infectious Disease Physician |
| Gender | Male |
| NPI Issued | 12/22/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
86.1318
Final Score
Measured-score avg: 83.5
81.9126
Quality
62.8334
Cost
99
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Edward Blanchard bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Reading Hospital
★★★★☆ 4/5
West Reading, PA
Acute Care Hospitals
CMS CCN: 390044
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Edward Blanchard. Source: openpaymentsdata.cms.gov.
Total received
$22
Largest payer
Melinta Therapeutics, LLC
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context - Pennsylvania PA-BOM 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Edward Blanchard. To verify Edward Blanchard's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Above average
Edward Blanchard - brand share 26.0%
Infectious Disease Physician average
26% brand-name claims vs 74% generic, on 353 2024 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
353
Total Claims
$348K
Total Drug Cost
85
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 388.933
- Total Day Supply
- 8,020
- Brand vs Generic
- 26% brand / 74% generic
- Brand Drug Cost
- $302K
- Generic Drug Cost
- $46K
- Antibiotic Claims
- 198
Patient Demographics
- Average Patient Age
- 71.4 years
- Avg HCC Risk Score
- 2.76
- Gender Split
- 51% female / 49% male
- Age Distribution
- <65: 21, 65-74: 29, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Edward Blanchard prescribes most
Top Medicare Part D drugs by claim count, 2024
- Biktarvy
Biktarvy
38 claims
- Cefazolin Sodium
Cefazolin Sodium
37 claims
- Ceftriaxone
Ceftriaxone
30 claims
- Ethambutol Hcl
Ethambutol Hcl
23 claims
- Triumeq
Triumeq
22 claims
- Azithromycin
Azithromycin
18 claims
- Vancomycin Hcl
Vancomycin Hcl
17 claims
- Rifampin
Rifampin
16 claims
| Drug | Claims |
|---|---|
| Biktarvy Bictegrav/Emtricit/Tenofov Ala | 38 |
| Cefazolin Sodium | 37 |
| Ceftriaxone Ceftriaxone Sodium | 30 |
| Ethambutol Hcl | 23 |
| Triumeq Abacavir/Dolutegravir/Lamivudi | 22 |
| Azithromycin | 18 |
| Vancomycin Hcl | 17 |
| Rifampin | 16 |
| Sodium Chloride 0.9 % Sodium Chloride | 15 |
| Daptomycin | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Infectious Disease Physician Overview
How Edward Blanchard fits within the Infectious Disease Physician landscape nationally.
8,537
Infectious Disease Physician Providers in US
54
States with Infectious Disease Physician
807
Avg Claims per Provider
Edward Blanchard's 353 claims are below the specialty average of 807.
Nationwide Infectious Disease Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Blanchard, both outside Pennsylvania so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (86.1 here).
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Infectious Disease Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Blanchard.
One of 444 Infectious Disease Physician providers enrolled in Pennsylvania, 5 are shown here.
Dr. Rasha Abdulmassih
MD
Pittsburgh, PA
Dr. David Abel
D.O.
Lancaster, PA
Dr. Monica Ahuja
MD
Wilkes Barre, PA
Dr. Nancy Aitcheson
MD
Philadelphia, PA
Dr. Okan Akay
M.D.
Harrisburg, PA
Compare Infectious Disease Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Edward Blanchard's specialty? ▼
Edward Blanchard specializes in Infectious Disease Physician and practices in West Reading, Pennsylvania.
How much does Edward Blanchard prescribe under Medicare Part D? ▼
In 2024, Edward Blanchard wrote 353 Medicare Part D claims totaling $348K in drug costs for 85 beneficiaries.
What is Edward Blanchard's Medicare quality score? ▼
Edward Blanchard has a CMS MIPS Final Score of 86.1/100 (Quality: 81.9, Cost: 62.8). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Edward Blanchard located? ▼
Edward Blanchard is located at 301 S 7TH AVE, West Reading, PA, 19611. Phone: (610) 988-4630.
What is Edward Blanchard's NPI number? ▼
Edward Blanchard's National Provider Identifier (NPI) is 1770767055, issued on 12/22/2007.
Does Edward Blanchard prescribe more brand-name or generic drugs? ▼
Edward Blanchard's prescribing is 26% brand-name and 74% generic drugs by claim count, with $302K in brand drug costs.
How many Infectious Disease Physician providers are there in the US? ▼
There are 8,537 Infectious Disease Physician providers across 54 states in the US. The average Infectious Disease Physician provider writes 807 Medicare Part D claims per year.
What drugs does Edward Blanchard prescribe most often? ▼
Based on 2024 Medicare Part D data, Edward Blanchard's most frequently prescribed drugs include Biktarvy, Cefazolin Sodium, Ceftriaxone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Edward Blanchard accept Medicare? ▼
Edward Blanchard appears in CMS Medicare data with 353 Part D claims and 85 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Edward Blanchard's credentials? ▼
Edward Blanchard's NPI is 1770767055. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.