CMS-1500 Box 24J / 33a • NPI
1477544609
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
1223S0112X (CMS 19)
Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
Box 32 Service Location & ZIP+4
6 ESSEX CENTER DR, SUITE 112, PEABODY, MA, 01960-2910
✓ 9-Digit EDI 837 ZIP+4 (01960-2910)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1477544609 (BART FREDERICK BLAESER, D.M.D., M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
No
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1477544609)
Medicare Beneficiaries
77
Total Billed Services
133
Distinct CPT/HCPCS Codes
13
Medicare Allowed Total
$15,654.23
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
70355 | X-ray of lower jaws, upper jaws and teeth | 17 |
99202 | New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | 11 |
99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 24 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 48 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1477544609 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | BART FREDERICK BLAESER, D.M.D., M.D. |
| Plain-English Specialty | Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) NUCC Code: 1223S0112X (Dentist, Oral and Maxillofacial Surgery) |
| Certifying / Licensing Body | American Dental Association (ADA) / State Board of Dental Examiners |
| Practice Location Address | 6 ESSEX CENTER DR, SUITE 112, PEABODY, MA, 01960-2910 |
| Practice Telephone / Fax | Tel: (978) 531-1450 | Fax: (978) 531-9984 |
| Administrative Mailing Address | 732 MAIN ST, BOXFORD, MA, 01921-1126 |
| Enumeration & Last Sync | Enumerated: 2005-11-05 | CMS Record Updated: 2010-04-13 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (1223S0112X)
What Does Taxonomy Code 1223S0112X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1223S0112X translates to:
"Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BART FREDERICK BLAESER, D.M.D., M.D.)
Typical CPT / Diagnostic Procedures:- Comprehensive Oral Evaluation, Digital Dental Radiographs & Prophylaxis
- Restorative Composite Fillings, Crowns, Endodontic Root Canal & Extractions
- Amoxicillin, Metronidazole & Clindamycin (Odontogenic Infections)
- Chlorhexidine Gluconate 0.12% Oral Rinse & High-Fluoride Varnish
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
1223S0112X — Dentist, Oral and Maxillofacial SurgeryPlain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) | State: MA | License: 18545 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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