PHILIP A. BLANEY (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1063850576

PHILIP A. BLANEY (M.D.) is a healthcare provider. based in Greenwood, Indiana. specializing in SPORTS MEDICINE, FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 01076512A (IN). The NPI Number for PHILIP A. BLANEY (M.D.) is 1063850576

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
PHILIP A. BLANEY (M.D.)
NPI
1063850576
Phone
(435) 668-2481
Address
1877 PRAIRIE SKY LN
Enumeration Date
6 June 2013
Last Update Date
5 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
7029902290
Graduation Year
2012 (14 years ago)
PAC ID
4183865462
Group Practice PAC ID
8527966936
Professional Enrollment ID
I20251203002592
Address ID
NV890524186HE2779XPKWY503

Contacts

Secure Messaging
pblaney150047@Direct.FranciscanAlliance.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness95
Years active:13State licenses:1Other names

185 SPORTS MEDICINE in IN

Provider Addresses for PHILIP A. BLANEY (M.D.)

  • 1877 PRAIRIE SKY LN

    GREENWOOD, IN 461436640

    Phone: (435) 668-2481

    Type: Mailing

  • PO BOX 781076

    DETROIT, MI 482781076

    Phone: (317) 528-4800

    Fax: (317) 865-1479

    Type: Mailing

  • 315 N DAN JONES RD STE 120

    PLAINFIELD, IN 46168

    Phone: (317) 837-4611

    Type: Location

  • 2779 W Horizon Ridge Pkwy Ste 200

    Henderson, NV 890524186

    Phone: (702) 990-2290

    Fax: (702) 990-2297

    Type: Location

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 $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2023-10-30 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-30

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: 2025-12-03

PECOS data refreshed: 2026-06-15

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170822003666ISports MedicineINTBD
I20251203002592IFamily PracticeNVTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2416$0
99213Established patient office or other outpatient visit, 20-29 minutes2111$0
View full utilization report →

Insurance plans in this area (ZIP 46143)

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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: 8527966936View full group profile
NameSpecialtyState
Orthopedic SurgeryNV
Orthopedic SurgeryCA
Nurse PractitionerWA
-NV
C H I R O P R A C T I CNV
P O D I A T R YNV
Orthopedic SurgeryCA
Physician AssistantNV
Physician AssistantNV

Reviews

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Frequently asked questions

What federal number belongs to PHILIP A. BLANEY (M.D.)?
The federal identifier for PHILIP A. BLANEY (M.D.) is NPI 1063850576.
Is PHILIP A. BLANEY (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize PHILIP A. BLANEY (M.D.)'s specialty in plain language?
Clinically, the directory lists PHILIP A. BLANEY (M.D.) with Sports Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for PHILIP A. BLANEY (M.D.)?
The page summarizes Greenwood, Indiana for PHILIP A. BLANEY (M.D.); expand the address list for detail.
Is PHILIP A. BLANEY (M.D.) a real provider?
This page reflects official NPPES data for NPI 1063850576. Always confirm identity and privileges with the practice and licensing boards.

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