BLAINE PHILLIP CARMICHAEL (PA-C) – Physician Assistant, NPI 1386633121

BLAINE PHILLIP CARMICHAEL (PA-C) is a healthcare provider. based in San antonio, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA00009 (TX). The NPI Number for BLAINE PHILLIP CARMICHAEL (PA-C) is 1386633121

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
BLAINE PHILLIP CARMICHAEL (PA-C)
NPI
1386633121
Phone
(210) 541-4500
Address
1045 CENTRAL PARKWAY NORTH
Enumeration Date
14 October 2005
Last Update Date
25 May 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2108784033
Graduation Year
1976 (50 years ago)
PAC ID
6305978743
Group Practice PAC ID
3870618622
Professional Enrollment ID
I20100720000677
Address ID
TX781543258SC6032XFMXX201
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,497 PHYSICIAN ASSISTANT in TX

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Provider Addresses for BLAINE PHILLIP CARMICHAEL (PA-C)

  • 1045, Central Parkway North, San Antonio, Bexar County, Texas, 78232, United States

    SUITE 200

    SAN ANTONIO, TX 782325024

    Phone: (210) 541-4500

    Fax: (210) 541-4508

    Type: Mailing

  • San Antonio, Calle Venustiano Carranza, Autlán de Navarro, Jalisco, 48903, Mexico

    SAN ANTONIO, TX 782052502

    Phone: (210) 272-1741

    Fax: (210) 272-1747

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 85 Open Payments records for all available years, with a total value of $4,600.

Total Amount is formed as General ($4,600) + Research ($0) + Ownership ($0) = $4,600.

Last reported payment date: 2024-06-27 • Largest payer in this snapshot: ABBVIE INC. ($3,919).

Total Amount

$4,600

General + Research + Ownership

Payments

85

Total payment records

General Amount

$4,600

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-27

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: 2010-07-20

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
I20100720000677IPhysician AssistantTXTBD

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 minutes342217$0
36415Insertion of needle into vein for collection of blood sample152136$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7272$0
G0444Annual depression screening, 5 to 15 minutes6969$0
82962Blood glucose (sugar) test performed by hand-held instrument4028$0
View full utilization report →

Insurance plans in this area (ZIP 78232)

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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: 3870618622View full group profile
NameSpecialtyState
Physician AssistantTX
Physician AssistantNC
Family PracticeTX
Physician AssistantTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

How do I look up BLAINE PHILLIP CARMICHAEL (PA-C) by NPI?
Use NPI 1386633121 when you need to reference BLAINE PHILLIP CARMICHAEL (PA-C) in forms, claims, or directories.
Is BLAINE PHILLIP CARMICHAEL (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is BLAINE PHILLIP CARMICHAEL (PA-C)?
The page reflects Physician Assistant for BLAINE PHILLIP CARMICHAEL (PA-C). Clinical services aligned with this taxonomy classification.
What location shows for BLAINE PHILLIP CARMICHAEL (PA-C)?
We surface San Antonio, Texas for BLAINE PHILLIP CARMICHAEL (PA-C) based on available NPPES addresses.
What if San Antonio, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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