BRAD D. BLANKENHORN (M.D.) – Orthopaedic Surgery Physician, NPI 1003033119
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
182 ORTHOPEDIC SURGERY in RI
Provider Addresses for BRAD D. BLANKENHORN (M.D.)
PO BOX 1119
PROVIDENCE, RI 029011119
Phone: (401) 330-1405
Fax: (401) 277-0799
Type: Mailing
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 029145375
Phone: (401) 330-1405
Fax: (401) 277-0799
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-03-24
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 |
|---|---|---|---|---|
| I20100706000637 | I | Orthopedic Surgery | RI | TBD |
| I20220324001219 | I | Orthopedic Surgery | MA | 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 |
|---|---|---|---|---|
| 73630 | X-ray of foot, minimum of 3 views | 362 | 235 | $0 |
| 73610 | X-ray of ankle, minimum of 3 views | 269 | 178 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 198 | 119 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 131 | 105 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 37 | 37 | $0 |
Insurance plans in this area (ZIP 02901)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | RI | 73630 | X-ray of foot, minimum of 3 views | 329 | 216 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | RI | |
| Physical Therapist In Private Practice | MA | |
| Orthopedic Surgery | RI | |
| Orthopedic Surgery | RI | |
| Nurse Practitioner | RI | |
| - | RI | |
| Orthopedic Surgery | RI | |
| - | RI | |
| Physical Therapist In Private Practice | RI | |
| Orthopedic Surgery | RI |
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