DR. THEODORE BLAINE (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1376576421
Sports Medicine (Orthopaedic Surgery) Physician
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Profile Insights
NPPES metrics only — not quality of care.
88 SPORTS MEDICINE in CT
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Provider Addresses for DR. THEODORE BLAINE (MD)
270, Farmington Avenue, Farmington, Hartford County, Connecticut, 06032, United States
STE 102
FARMINGTON, CT 060321920
Phone: (860) 549-8276
Fax: (860) 674-8084
Type: Mailing
31, Seymour Street, Frog Hollow Historic District, Hartford, Hartford County, Connecticut, 06106, United States
STE 100
HARTFORD, CT 061065521
Phone: (860) 549-3210
Fax: (860) 247-3803
Type: Location
PO BOX 29234
NEW YORK, NY 100879234
Phone: (203) 705-0766
Type: Mailing
535 E 70TH ST
NEW YORK, NY 100214823
Phone: (203) 705-0766
Fax: (860) 247-3803
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 47 Open Payments records for all available years, with a total value of $359,767.
Total Amount is formed as General ($359,767) + Research ($0) + Ownership ($0) = $359,767.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Catalyst Orthoscience ($194,149).
Total Amount
$359,767
General + Research + Ownership
Payments
47
Total payment records
General Amount
$359,767
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
1
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Catalyst Orthoscience | $194,149 |
| Catalyst OrthoScience | $144,271 |
| Lima USA, Inc. | $13,644 |
| Smith+Nephew, Inc. | $6,225 |
| Limacorporate S.p.A. | $1,190 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-09-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041209000952 | I | Orthopedic Surgery | CT | TBD |
| I20190903003076 | I | Orthopedic Surgery | NY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 380 | 265 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 357 | 62 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 154 | 150 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 93 | 70 | $0 |
| 23430 | Anchoring of biceps tendon | 50 | 50 | $0 |
Insurance plans in this area (ZIP 06032)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | CT | 20610 | Aspiration and/or injection of large joint or joint capsule | 67 | 45 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CT | |
| Internal Medicine | NY | |
| N E U R O L O G Y | CT | |
| Physician Assistant | CT | |
| Physician Assistant | CT | |
| Internal Medicine | CT | |
| P O D I A T R Y | CT | |
| P O D I A T R Y | CT | |
| Physical Medicine And Rehabilitation, Neurology | CT | |
| Internal Medicine | CT |
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