CHRISTOPHER SC BLAISDELL (D.O.) – Neuromusculoskeletal Medicine & OMM Physician, NPI 1013212331

CHRISTOPHER SC BLAISDELL (D.O.) is a healthcare provider. based in Tulsa, Oklahoma. specializing in OSTEOPATHIC MANIPULATIVE MEDICINE. They hold the professional credentials D.O.. They hold a License No. OS22496 (FL). The NPI Number for CHRISTOPHER SC BLAISDELL (D.O.) is 1013212331

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTOPHER SC BLAISDELL (D.O.)
NPI
1013212331
Phone
(617) 512-7201
Address
1611 S UTICA AVE # 229
Enumeration Date
18 January 2011
Last Update Date
22 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5616322242
Graduation Year
2009 (17 years ago)
PAC ID
0840467437
Group Practice PAC ID
0941725428
Professional Enrollment ID
I20260210004554
Address ID
FL349831338PO4531XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:15State licenses:1Digital endpointsOther names

44 OSTEOPATHIC MANIPULATIVE MEDICINE in OK

Provider Addresses for CHRISTOPHER SC BLAISDELL (D.O.)

  • 1611 S UTICA AVE # 229

    TULSA, OK 741044909

    Phone: (617) 512-7201

    Type: Mailing

  • 635 W 11TH ST

    OSU MEDICAL CENTER - DEPARTMENT OF INTERNAL MEDICINE

    TULSA, OK 74127

    Phone: (918) 382-3535

    Type: Location

  • 1435 W 49TH PL

    HIALEAH, FL 330123197

    Phone: (305) 558-2500

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $113.

Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.

Last reported payment date: 2024-07-15 • Largest payer in this snapshot: SPR Therapeutics, Inc ($80).

Total Amount

$113

General + Research + Ownership

Payments

3

Total payment records

General Amount

$113

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-15

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: 2026-02-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20260210004554IOsteopathic Manipulative MedicineFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74104)

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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: 0941725428View full group profile
NameSpecialtyState
Sports Medicine, Internal MedicinePA
Osteopathic Manipulative MedicineGA

Reviews

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Frequently asked questions

Can I verify CHRISTOPHER SC BLAISDELL (D.O.) with an NPI only?
You can start verification with NPI 1013212331 for CHRISTOPHER SC BLAISDELL (D.O.), then check state licensing separately.
Can I rely on CHRISTOPHER SC BLAISDELL (D.O.) being an active provider?
As of the registry snapshot, CHRISTOPHER SC BLAISDELL (D.O.) is marked active.
What taxonomy line describes CHRISTOPHER SC BLAISDELL (D.O.)?
For research purposes, treat CHRISTOPHER SC BLAISDELL (D.O.) as Neuromusculoskeletal Medicine & OMM Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does CHRISTOPHER SC BLAISDELL (D.O.) list a practice location?
Patients near Tulsa, Oklahoma may find CHRISTOPHER SC BLAISDELL (D.O.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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