DR. PHILIP BLANCHARD PAINE (M.D.) – Internal Medicine Physician, NPI 1255642815

DR. PHILIP BLANCHARD PAINE (M.D.) is a healthcare provider. based in Port charlotte, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 24661 (MS). The NPI Number for DR. PHILIP BLANCHARD PAINE (M.D.) is 1255642815

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. PHILIP BLANCHARD PAINE (M.D.)
NPI
1255642815
Phone
(941) 391-5496
Address
3390 TAMIAMI TRL
Enumeration Date
29 June 2010
Last Update Date
10 October 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2292282000
Graduation Year
2010 (16 years ago)
PAC ID
8921249962
Group Practice PAC ID
8022272913
Professional Enrollment ID
I20250225002885
Address ID
GA317926614TH915XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:15State licenses:3Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for DR. PHILIP BLANCHARD PAINE (M.D.)

  • 3390 TAMIAMI TRL

    SUITE 204

    PORT CHARLOTTE, FL 339528157

    Phone: (941) 391-5496

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-10-01 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-02-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130802000251IInternal MedicineFLTBD
I20161230000254IInternal MedicineMSTBD
I20250225002885IInternal MedicineGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes465430$0
99291Critical care, first 30-74 minutes6865$0
View full utilization report →

Insurance plans in this area (ZIP 33952)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022272913View full group profile
NameSpecialtyState
Internal MedicineFL
Family PracticeFL
Internal MedicineGA
Pulmonary DiseaseFL
-UT
Internal MedicineGA
Internal MedicineKS
Internal MedicineFL
Internal MedicineVA
Internal MedicineGA

Reviews

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Frequently asked questions

Is there an official ID for DR. PHILIP BLANCHARD PAINE (M.D.) in U.S. healthcare records?
The official identifier for DR. PHILIP BLANCHARD PAINE (M.D.) is NPI 1255642815.
Would DR. PHILIP BLANCHARD PAINE (M.D.) appear as active to a payer?
You can treat DR. PHILIP BLANCHARD PAINE (M.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. PHILIP BLANCHARD PAINE (M.D.)?
At a glance, DR. PHILIP BLANCHARD PAINE (M.D.) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is DR. PHILIP BLANCHARD PAINE (M.D.) registered?
Use Port Charlotte, Florida as the headline location for DR. PHILIP BLANCHARD PAINE (M.D.) here.
When was this NPI issued?
Enumeration for DR. PHILIP BLANCHARD PAINE (M.D.) is noted as June 29, 2010 where the registry provides it.