BLAIN A CRANDELL (MD) – Family Medicine Physician, NPI 1215964614

BLAIN A CRANDELL (MD) is a healthcare provider. based in Bainbridge island, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD00043807 (WA). The NPI Number for BLAIN A CRANDELL (MD) is 1215964614

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
BLAIN A CRANDELL (MD)
NPI
1215964614
Phone
(206) 842-3222
Address
123 BJUNE DR SE
Enumeration Date
28 June 2006
Last Update Date
2 December 2013

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2001 (25 years ago)
PAC ID
9436129855
Group Practice PAC ID
9032020490
Professional Enrollment ID
I20050516000107
Address ID
IL600268001GL2600XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

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Provider Addresses for BLAIN A CRANDELL (MD)

  • 123, Bjune Drive Southeast, Winslow, Bainbridge Island, Kitsap County, Washington, 98110, United States

    SUITE 101

    BAINBRIDGE ISLAND, WA 981102459

    Phone: (206) 842-3222

    Fax: (206) 842-1877

    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 $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-03-03 • Largest payer in this snapshot: Exact Sciences Corporation ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-03

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: 2004-07-30

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
I20040730001008IFamily PracticeWATBD

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
36415Insertion of needle into vein for collection of blood sample297187$0
99213Established patient office or other outpatient visit, 20-29 minutes218138$0
99214Established patient office or other outpatient visit, 30-39 minutes170108$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit109109$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage6867$0
View full utilization report →

Insurance plans in this area (ZIP 98110)

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Provider's Procedures

BLAIN A CRANDELL (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEWA85610Blood test, clotting time9520

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: 9032020490View full group profile
NameSpecialtyState
Physician AssistantVA
Internal MedicineCA
Internal MedicineVA
Family PracticeWA
Physical Medicine And Rehabilitation, Sports MedicineUT
Internal MedicineVA
Family PracticeWA
Internal MedicineWA
Family PracticeWA
Family PracticeGA

Reviews

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Frequently asked questions

Is there an official ID for BLAIN A CRANDELL (MD) in U.S. healthcare records?
The official identifier for BLAIN A CRANDELL (MD) is NPI 1215964614.
Is BLAIN A CRANDELL (MD) still an active registrant?
BLAIN A CRANDELL (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for BLAIN A CRANDELL (MD)?
At a glance, BLAIN A CRANDELL (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Washington is BLAIN A CRANDELL (MD) registered?
Use Bainbridge Island, Washington as the headline location for BLAIN A CRANDELL (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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