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Medicare Doctors in Blanding, UT

52 in-network providers across 17 specialties and 2 plans

52 Providers
17 Specialties
Medicare’s Utah network spans 15,608 providers. Blanding contributes 52 in-network providers. under 1% of the statewide total. The largest Medicare footprint in Utah is in Salt Lake City (4,780 providers).
Showing 120 of 52 providers·
WC
Dr. William Cuskelly, MD
Family Practice
Utah Navajo Health System Incorporated
Po Box, Blanding, UT 84534
38 years experience · University Of Washington School Of Medic...
Medicare✓ Medicare10 plans
MG
Mindy Gurley, NP
Nurse Practitioner
Utah Navajo Health System Incorporated
Po Box, Blanding, UT 84534
8 years experience · Other
Medicare✓ Medicare11 plans
SS
Sandra Spackman, NP
Nurse Practitioner
Utah Navajo Health System Incorporated
Po Box, Blanding, UT 84534
11 years experience · Other
Medicare✓ Medicare✓ Telehealth12 plans
FL
Dr. Franklin Lam, MD
Nephrology
Dhhs Phs Naihs Shiprock Hospital
Po Box, Blanding, UT 87420
14 years experience · Other
Medicare✓ Medicare7 plans
TC
Dr. Terry Cook, DPM
Podiatry
Utah Navajo Health System Incorporated
Po Box, Blanding, UT 84534
31 years experience · California School Of Podiatric Medicine
Medicare11 plans
MP
Dr. Manish Pandya, MD
Nephrology
Utah Navajo Health System Incorporated
Po Box, Blanding, UT 84534
28 years experience · Other
Medicare✓ Medicare✓ Telehealth12 plans
DK
Dolphina Kaye, CSW
Clinical Social Worker
735 S 200, Blanding, UT 84511
5 years experience · Other
Medicare5 plans
ML
Michele Lyman, PA
Physician Assistant
Utah Navajo Health System Incorporated
Po Box, Blanding, UT 84534
30 years experience · Other
Medicare✓ Medicare9 plans

About Medicare Coverage in Blanding

Medicare operates 2 distinct networks in Blanding, UT, with a combined in-network roster of 52 doctors across 17 medical specialties. Among the five largest insurers we track in Blanding, Medicare ranks #2 by provider count, the leader is Aetna with 56 in-network doctors. Use this page to confirm a specific provider is in-network, understand which Medicare networks have the widest reach in Blanding, and compare coverage against other major insurers before scheduling care.

Medicare publishes its Blanding directory at the network level rather than the consumer-plan level. The labels on each row below (for example Original Medicare (Accepts Assignment)) are network identifiers, not the plan names printed on your member ID card. Your specific plan typically maps to one of these networks, but the mapping isn’t exposed in the federal filing. Match the doctor’s name first, then call the office with your member ID to confirm your plan is accepted.

Data is sourced from the federally-mandated CMS Transparency in Coverage filings that every insurer must publish monthly. Last refreshed June 28, 2026. Networks change between filings, so even when a doctor appears here we recommend calling their office with your member ID to confirm current network status before your visit.

Medicare Networks in Blanding

Medicare contracts with doctors at the network level in Blanding. Each network below is a contract; your specific plan (printed on your member ID) maps to one of them.

Plan / NetworkTypeDoctors

Original Medicare (Accepts Assignment)

government

49

Original Medicare (May Accept Assignment)

government

3

Top Specialties Accepting Medicare

Medicare’s Blanding network spans 17 distinct medical specialties. The mix reflects where the insurer has negotiated the deepest physician contracts. primary-care specialties and behavioral health tend to dominate, with surgical and sub-specialty networks typically narrower.

Click any specialty below to see a filtered list of just those in-network providers in Blanding, including ratings, locations, years of experience, and contact information. For specialties with fewer than 10 in-network providers, you’ll likely want to check nearby cities too. the section further down on this page has your geographic options.

Physician Experience in Medicare’s Blanding Network

Years since medical school graduation is a reasonable proxy for experience, though it doesn’t capture fellowship training, subspecialty certifications, or years spent in specific clinical settings. For Medicare’s Blanding network the breakdown below gives a quick sense of whether you’re picking from a predominantly early-career roster or one weighted toward veteran practitioners.

A network heavy on early-career doctors (0–5 years) often means lower wait times for new patients and exposure to the latest training, while veteran providers (30+ years) typically bring deeper pattern recognition for unusual presentations. A balanced distribution. roughly one-quarter in each bucket. is a healthy signal that the insurer has depth at every career stage, not just new graduates filling out its directory.

Median14years of experience
243 Medicare providers in Blanding with graduation-year data
Early career0–5 yrs
32providers
13%
Established6–15 yrs
106providers
44%
Senior16–30 yrs
45providers
19%
Veteran30+ yrs
60providers
25%

Telehealth Coverage in Blanding

3 of 52 Medicare in-network providers (6%) offer telehealth visits in Blanding. Video appointments are typically covered for follow-ups, medication refills and adjustments, mental-health sessions, dermatology triage, and low-acuity primary care.

Availability and reimbursement still vary by state regulation and specific plan. Psychiatry, behavioral-health, and primary-care telehealth is near-universal at this point; procedural specialties (cardiology, orthopedics) typically offer video visits for pre-op consults and post-op follow-up but not initial diagnostic visits. Call the office with your Medicare member ID to confirm your plan covers the visit type you need.

Top specialties offering telehealth in Blanding

Top Hospitals Serving Medicare Patients in Blanding

Hospitals with the most Medicare-network physicians practicing there. Large affiliation counts indicate that Medicare has a durable relationship with the facility, which typically means smoother prior-authorizations for admissions, lab work, and follow-up care coordinated under one roof.

Hospital coverage is a separate contract from physician coverage. your Medicare plan may cover a doctor who admits at Hospital X but classify the hospital itself as out-of-network, leaving you with a surprise facility bill. Before scheduling anything inpatient or procedural, call both the doctor’s office and the hospital billing line with your member ID to confirm both sides are in-network for the specific plan you hold.

Coverage Compared in Blanding

Side-by-side provider counts for the five largest commercial and government insurers tracked in Blanding. These numbers show raw network breadth. they don’t adjust for quality, specialty mix, or your specific plan’s tier structure, but they’re a useful first filter when choosing a carrier at open enrollment.

If Medicare’s provider count looks limited for your needs, the alternatives below may fit better. Click any row to open that insurer’s Blanding provider list with the same filters, plan breakdown, and hospital affiliations that you’re seeing here.

Nearby Cities with Medicare Coverage

Cities closest to Blanding where Medicare has an in-network provider base of meaningful size. Useful if you’re willing to drive a short distance for a hard-to-find specialist, have two offices to choose between, or are planning a move inside the region.

The mileage figures are straight-line distances computed from average practice-address coordinates, not drive-time. Counts reflect each nearby city’s Medicare network size. a small count doesn’t mean no coverage, just that your in-Blanding options are likely more plentiful.

Frequently Asked Questions

Common questions about Medicare coverage in Blanding

How do I find an Medicare in-network doctor in Blanding, UT?

Medicare has 52 in-network providers across 17 medical specialties in Blanding. This list is compiled from federally-mandated CMS Transparency in Coverage filings, last verified June 28, 2026. Filter by specialty, plan type, gender, telehealth or experience above to narrow your search, then click any provider for full credentials and contact details. Always confirm coverage with your specific plan before scheduling.

Which hospitals in Blanding accept Medicare?

Hospitals where Medicare doctors most commonly practice in Blanding include BLUE MOUNTAIN HOSPITAL, SAN JUAN REGIONAL MEDICAL CENTER INC, CHINLE COMPREHENSIVE HEALTH CARE FACILITY, TUBA CITY REGIONAL HEALTH CARE CORPORATION. This is inferred from physician affiliations rather than direct insurer-hospital contracts, so confirm hospital network status separately with both your Medicare plan and the hospital's billing department before scheduling any inpatient or surgical procedure. Even when a doctor is in-network, the hospital where they admit may not be.

Which medical specialties have the most Medicare providers in Blanding?

Medicare's Blanding network is largest in Family Practice (11), Nurse Practitioner (9), Physician Assistant (8). Primary care, behavioral health, and physical therapy tend to dominate insurer networks because high patient volumes drive deeper provider contracts. Surgical sub-specialties typically have narrower networks. Click any specialty in the section above to see a filtered list of those in-network providers.

How does Medicare compare to other insurers in Blanding?

Medicare ranks #2 of 5 major insurers tracked in Blanding by provider count, with 52 doctors. Aetna leads at 56 providers. Larger network size means more provider choice but doesn't guarantee that your specific doctor is in-network with any insurer. The Coverage Compared section above shows side-by-side counts for the top five carriers in Blanding.

Why don't I see specific Medicare plan names like Bronze or Silver?

Medicare files its Blanding provider directory at the network level rather than by consumer plan name. The labels above (such as Original Medicare (Accepts Assignment)) are the network identifiers Medicare uses internally. Your specific plan, whether commercial group, Medicare, or Medicaid, maps to one of these networks but the federal filing format doesn't expose which plan goes with which network. To verify your exact plan covers a specific doctor, call the provider with your member ID handy.

How do I verify a doctor is in-network with Medicare?

Three steps: first match the doctor's name against this list, second call the provider's office with your member ID to confirm they currently accept your specific Medicare plan, and third check Medicare's own member portal for the most authoritative real-time status. Networks change between monthly federal filings; our data was last refreshed June 28, 2026.

What if my doctor isn't listed here?

This list reflects Medicare's submitted network data as of the last federal filing on June 28, 2026. Doctors join and leave networks between filings, so a current in-network provider may be missing if they joined recently. Call the doctor's office to ask whether they currently accept Medicare, then check Medicare's own member portal for confirmation.

When was this Medicare data last updated?

The Medicare Blanding provider list was last refreshed June 28, 2026. Doctor and network data come from the federally-mandated CMS Transparency in Coverage filings that every insurer must publish monthly. Refresh cadence: monthly for provider data, annually for marketplace and Medicare plans.

Related healthcare resources

Patient resources for Blanding Medicare members.

Data freshness

Last verified June 28, 2026 · Source: CMS Transparency in Coverage federal filings · Refresh cadence: monthly