NPI registry status
Active
2026 NPPES data Otolaryngology Physician NPI 1831162312
Verify on CMS → James Blaugrund
Otolaryngology Physician in Pittsburgh, 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 10,895 in Otolaryngology 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
2K
Medicare Part D claims · 666 beneficiaries · Otolaryngology Physician avg: 509
MIPS score
78.5/100
▼ 5 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
James Blaugrund reported a CMS MIPS final score of 78.5/100 - below the 83.1 national average - and filed 1,808 Medicare Part D claims in 2023.
- 78.5/100
- MIPS score · -5 vs avg
- 2K
- Part D claims, 2023
- 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.
James Blaugrund's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
79 27th percentile higher than 27% of 477,587 scored providers
Each bar is a band; taller bars hold more scored 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.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where James Blaugrund sits
This provider among otolaryngology physician peers
Across the 3,669 otolaryngology physician providers who report both Medicare Part D prescribing and a MIPS quality score, James Blaugrund writes more Part D claims than 95% of them and scores higher on MIPS quality than 37% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one otolaryngology physician peer from a representative sample of 60; the gold marker is James Blaugrund. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
James Blaugrund practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 James Blaugrund?
Near national averagePrimary specialty
Otolaryngology Physician
Medicare Part D claims
1,808 255% vs specialty avg
MIPS final score
78.5/100 4.6 pts vs avg
Specialty distribution in Pennsylvania
How Otolaryngology Physician compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
James Blaugrund's 2023 MIPS final score plotted against the Otolaryngology Physician national average
- MIPS Final Score
- 78.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Otolaryngology Physician) - 78.5/100 vs national avg 83.1
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).
James Blaugrund appears in the CMS NPPES registry as a Otolaryngology Physician provider at 9104 BABCOCK BLVD, Pittsburgh, PA, 15237, with a listed phone of (412) 366-3889. NPI 1831162312 was issued on 02/07/2006.
Medicare Part D records for calendar year 2023 show 1,808 prescription claims written by this provider, covering 666 Medicare beneficiaries and totaling roughly $38K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 78.5/100 for the 2023 performance year (Quality 74.6, Cost 53.8), compared with the national average of 83.1.
Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1831162312 |
|---|---|
| Specialty | Otolaryngology Physician |
| Gender | Male |
| NPI Issued | 02/07/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
78.5339
Final Score
Avg: 83.1
74.6181
Quality
53.8283
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where James Blaugrund 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.
Las Geriatric Care Services, Inc.
Cranberry Township, PA
Upmc Community Medicine Inc
Pittsburgh, PA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
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 James Blaugrund. To verify James Blaugrund'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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
1,808
Total Claims
$38K
Total Drug Cost
666
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,726
- Total Day Supply
- 66,971
- Generic Drug Cost
- $31K
- Antibiotic Claims
- 296
Patient Demographics
- Average Patient Age
- 72.7 years
- Avg HCC Risk Score
- 1.22
- Gender Split
- 56% female / 44% male
- Age Distribution
- <65: 72, 65-74: 321, 75-84: 215, 85+: 58
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What James Blaugrund prescribes most
Top Medicare Part D drugs by claim count, 2023
- Famotidine
Famotidine
364 claims
- Omeprazole
Omeprazole
184 claims
- Fluticasone Propio… 145
Fluticasone Propionate
145 claims
- Azelastine Hcl 134
Azelastine Hcl
134 claims
- Ipratropium Bromide 106
Ipratropium Bromide
106 claims
- Amoxicillin-Clavul… 91
Amoxicillin-Clavulanate Potass
91 claims
- Prednisone 85
Prednisone
85 claims
- Methylprednisolone 83
Methylprednisolone
83 claims
| Drug | Claims |
|---|---|
| Famotidine | 364 |
| Omeprazole | 184 |
| Fluticasone Propionate | 145 |
| Azelastine Hcl | 134 |
| Ipratropium Bromide | 106 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 91 |
| Prednisone | 85 |
| Methylprednisolone | 83 |
| Ofloxacin | 63 |
| Cefdinir | 49 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Otolaryngology Physician Overview
How James Blaugrund fits within the Otolaryngology Physician landscape nationally.
10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider
James Blaugrund's 1,808 claims are above the specialty average of 509.
Nearby Otolaryngology Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Blaugrund.
Dr. Soo Abboud
MD
Philadelphia, PA
Allyson Abell
Sayre, PA
Dr. Ahmad Abualsoud
MBBCH
Bethlehem, PA
Dr. Nithin Adappa
MD
Philadelphia, PA
Dr. Robert Adelson
MD
Philadelphia, PA
Compare Otolaryngology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Otolaryngology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is James Blaugrund's specialty? ▼
James Blaugrund specializes in Otolaryngology Physician and practices in Pittsburgh, Pennsylvania.
How much does James Blaugrund prescribe under Medicare Part D? ▼
In 2023, James Blaugrund wrote 1,808 Medicare Part D claims totaling $38K in drug costs for 666 beneficiaries.
What is James Blaugrund's Medicare quality score? ▼
James Blaugrund has a CMS MIPS Final Score of 78.5/100 (Quality: 74.6, Cost: 53.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Blaugrund located? ▼
James Blaugrund is located at 9104 BABCOCK BLVD, Pittsburgh, PA, 15237. Phone: (412) 366-3889.
What is James Blaugrund's NPI number? ▼
James Blaugrund's National Provider Identifier (NPI) is 1831162312, issued on 02/07/2006.
How many Otolaryngology Physician providers are there in the US? ▼
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does James Blaugrund prescribe most often? ▼
Based on 2023 Medicare Part D data, James Blaugrund's most frequently prescribed drugs include Famotidine, Omeprazole, Fluticasone Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Blaugrund accept Medicare? ▼
James Blaugrund appears in CMS Medicare data with 1,808 Part D claims and 666 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Blaugrund's credentials? ▼
James Blaugrund's NPI is 1831162312. 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 (2023). 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 April 2026 (NPPES) / 2023 (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
Compiled from official public sources by the PlainDoctor editorial team.