DR. SCOTT ALAN BLAINE (DO) – Anesthesiology Physician, NPI 1063975126

DR. SCOTT ALAN BLAINE (DO) is a healthcare provider. based in Madison, Wisconsin. specializing in ANESTHESIOLOGY. They hold the professional credentials DO. They hold a License No. 75279 (WI). The NPI Number for DR. SCOTT ALAN BLAINE (DO) is 1063975126

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. SCOTT ALAN BLAINE (DO)
NPI
1063975126
Phone
(608) 263-6400
Address
UW HOSPITALS AND CLINICS 600 HIGHLAND AVE
Enumeration Date
7 April 2019
Last Update Date
5 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6084176000
Graduation Year
2019 (7 years ago)
PAC ID
3476887159
Group Practice PAC ID
5193700342
Professional Enrollment ID
I20230719001961
Address ID
WI537151507MA202XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,266 ANESTHESIOLOGY in WI

Provider Addresses for DR. SCOTT ALAN BLAINE (DO)

  • UW HOSPITALS AND CLINICS 600 HIGHLAND AVE

    MADISON, WI 537920001

    Phone: (608) 263-6400

    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)

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: 2023-07-19

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
I20230719001961IAnesthesiologyWITBD

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 53792)

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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: 5193700342View full group profile
NameSpecialtyState
-WI
A N E S T H E S I O L O G YWI
A N E S T H E S I O L O G YWI
Anesthesiology AssistantWI
A N E S T H E S I O L O G YWI
A N E S T H E S I O L O G YNC
-WI
A N E S T H E S I O L O G YMN
A N E S T H E S I O L O G YWI
-WI

Reviews

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Frequently asked questions

What is the registry number for DR. SCOTT ALAN BLAINE (DO)?
The registry entry for DR. SCOTT ALAN BLAINE (DO) shows NPI 1063975126.
Does the public listing show DR. SCOTT ALAN BLAINE (DO) as active?
DR. SCOTT ALAN BLAINE (DO)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. SCOTT ALAN BLAINE (DO)?
NPPES ties DR. SCOTT ALAN BLAINE (DO) to Anesthesiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. SCOTT ALAN BLAINE (DO)?
DR. SCOTT ALAN BLAINE (DO) shows a connection to Madison, Wisconsin in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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