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PHILIP A. BLANEY M.D.
NPI 1063850576
Family Medicine - Sports Medicine in Greenwood, IN

Active since June 06, 2013PECOS EnrolledAccepts Medicare Assignment
1877 PRAIRIE SKY LN, GREENWOOD, IN 46143(435) 668-2481 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 5, 2025, Aug 5, 2025, Mar 21, 2023 and 9 more (12 updates tracked since 2017).

About Philip A. Blaney M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILIP A. BLANEY M.D. (NPI 1063850576) is an individual sports medicine provider in Greenwood, Indiana, licensed in Indiana (01076512A) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Henderson, and is a graduate of University Of Utah School Of Medicine (2012).

NPPES Registry Identity

NPI1063850576
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NamePHILIP A. BLANEYCredential: M.D.
Location Address1877 PRAIRIE SKY LNGreenwood, IN 46143-6640
Mailing Address1877 Prairie Sky LnGreenwood, IN 46143-6640 · (435) 668-2481
Phone(435) 668-2481
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2012
Enumeration DateJune 6, 2013
Last NPPES UpdateSeptember 5, 202512 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1063850576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in IN · 01076512A
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 01076512A (IN)
1877 PRAIRIE SKY LN, Greenwood, IN 46143
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Secondary Practice Location 1

Location 12779 W Horizon Ridge Pkwy Ste 200Henderson, NV 89052-4186 · Phone (702) 990-2290 ext. 222 · Fax (702) 990-2297

Other Identifiers 1

Medicaid300007592IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Philip A. Blaney M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183865462
PECOS Enrollment IDI20251203002592
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Philip Blaney reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Indiana Orthopedics, LLC
29 mi
Orthopaedic Surgery
14300 E 138TH STE B
Fishers, IN 46037
  • Reassigned Medicare billing, Indiana enrollment
  • 135 clinicians in this Medicare group
NPI 1962061135 (317) 773-4301
Crovetti Bone And Joint Institute Of Southern Nevada
1,601 mi
Sports Medicine
2779 W HORIZON RIDGE PKWY, STE. 200
Henderson, NV 89052
  • Reassigned Medicare billing, Nevada enrollment
  • 16 clinicians in this Medicare group
NPI 1487788873 (702) 990-2290

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philip Blaney's NPI number?

The NPI number for Philip Blaney is 1063850576. It was assigned to this individual provider in the NPPES registry on June 6, 2013.

Where is Philip Blaney located?

Philip Blaney practices at 1877 Prairie Sky Ln, Greenwood, IN 46143. The listed phone number is (435) 668-2481.

What is Philip Blaney's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Philip Blaney enrolled in Medicare?

Yes. Philip Blaney is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Philip Blaney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Blaney reassigns Medicare benefits to 2 organizations: Central Indiana Orthopedics, LLC (Fishers, IN) and Crovetti Bone And Joint Institute Of Southern Nevada (Henderson, NV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Philip Blaney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Philip Blaney was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.