DR. PHILIP BLANCHARD PAINE M.D.
NPI 1255642815
Internal Medicine in Port Charlotte, FL

Active since June 29, 2010PECOS EnrolledAccepts Medicare Assignment
87.1/100
CMS Quality Rating
3390 TAMIAMI TRL, SUITE 204, PORT CHARLOTTE, FL 33952(941) 391-5496 Get Directions Write a Review

NPPES record last updated: October 10, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Philip Blanchard Paine M.d. NPPES

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

DR. PHILIP BLANCHARD PAINE M.D. (NPI 1255642815) is an individual internal medicine provider in Port Charlotte, Florida, licensed in Florida (ME 116677) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Archbold Memorial, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1255642815
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PHILIP BLANCHARD PAINECredential: M.D.
Location Address3390 TAMIAMI TRL, SUITE 204Port Charlotte, FL 33952-8157
Mailing Address3390 Tamiami Trl, Suite 204Port Charlotte, FL 33952-8157
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 29, 2010
Last NPPES UpdateOctober 10, 2017
✔ NPI 1255642815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in FL · ME 116677✔ Licensed in LA · MD .206193✔ Licensed in MS · 24661
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3390 TAMIAMI TRL, Port Charlotte, FL 33952

Other Identifiers 1

Medicaid2111345LA

Accepted Insurance

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

Dr. Philip Blanchard Paine 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 ID8921249962
PECOS Enrollment IDI20161230000254, I20250225002885
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

3

Medicare enrollment records show Philip Paine reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
3550 BUSCHWOOD PARK DR, SUITE 350
Tampa, FL 33618
  • Reassigned Medicare billing, Florida enrollment
  • 903 clinicians in this Medicare group
Emergency Medicine
915 GORDON AVE
Thomasville, GA 31792
  • Reassigned Medicare billing, Georgia enrollment
  • 46 clinicians in this Medicare group
Hospitalist
1105 EARL FRYE BLVD
Amory, MS 38821
  • Reassigned Medicare billing, Mississippi enrollment
  • 170 clinicians in this Medicare group

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
407 services376 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
72 services72 patients
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes 99236
This service involves a brief hospital stay for a serious health issue. Patients are admitted and discharged on the same day, typically within 55 minutes. It allows for close monitoring and immediate treatment, ensuring optimal care.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Archbold Memorial

Acute Care Hospitals · Thomasville, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110038
Location915 Gordon Avenue & Mimosa DriveThomasville, GA 31792 · Thomas County
Emergency services Birthing friendly

Baptist Memorial Hospital Union County

Acute Care Hospitals · New Albany, MS
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number250006
Location200 Hwy 30 WestNew Albany, MS 38652 · Union County
Emergency services Birthing friendly

Baptist Memorial Hospital North Ms

Acute Care Hospitals · Oxford, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250034
Location1100 Belk Blvd /Po Box 946Oxford, MS 38655 · Lafayette County
Emergency services Birthing friendly

University Of Mississippi Medical Center- Grenada

Acute Care Hospitals · Grenada, MS
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number250168
Location960 Avent DriveGrenada, MS 38901 · Grenada County
Emergency services Birthing friendly

Baptist Memorial Hospital - Calhoun, Inc.

Critical Access Hospitals · Calhoun City, MS
OwnershipVoluntary non-profit - Private
CMS Certification Number251331
Location140 Burke-Calhoun City RoadCalhoun City, MS 38916 · Calhoun County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33952 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.27
Improvement Activities40
Cost76.94

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
3390 TAMIAMI TRL, SUITE 204
PORT CHARLOTTE, FL 33952
Home Health
3390 TAMIAMI TRL, SUITE 203
PORT CHARLOTTE, FL 33952
Physician Assistant (Medical)
3390 TAMIAMI TRL, SUITE 204
PORT CHARLOTTE, FL 33952
Internal Medicine
3390 TAMIAMI TRL, SUITE 204
PORT CHARLOTTE, FL 33952
Nurse Practitioner
3390 TAMIAMI TRL, STE 105
PORT CHARLOTTE, FL 33952
Urology
3390 TAMIAMI TRL, SUITE 201
PORT CHARLOTTE, FL 33952
Nurse Practitioner (Psychiatric/Mental Health)
3390 TAMIAMI TRL, SUITE 104
PORT CHARLOTTE, FL 33952
Internal Medicine (Hematology & Oncology)
3390 TAMIAMI TRL, STE 205
PORT CHARLOTTE, FL 33952

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 Paine's NPI number?

The NPI number for Philip Paine is 1255642815. It was assigned to this individual provider in the NPPES registry on June 29, 2010.

Where is Philip Paine located?

Philip Paine practices at 3390 Tamiami Trl Suite 204, Port Charlotte, FL 33952. The listed phone number is (941) 391-5496.

What is Philip Paine's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Philip Paine enrolled in Medicare?

Yes. Philip Paine 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 Paine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Paine reassigns Medicare benefits to 3 organizations: Inpatient Consultants Of Florida Inc (Tampa, FL), Southland Hospitalist Group, LLC (Thomasville, GA) and Comprehensive Hospitalists Of Ms, LLC (Amory, MS). 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 Paine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Philip Paine accept?

Health plans from Molina Healthcare list Philip Paine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Philip Paine affiliated with any hospitals?

According to CMS data, Philip Paine is affiliated with Archbold Memorial, Baptist Memorial Hospital Union County, Baptist Memorial Hospital North Ms, University Of Mississippi Medical Center- Grenada and Baptist Memorial Hospital - Calhoun, Inc..

When was this NPI record last updated?

The NPPES record for Philip Paine was last updated on October 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.