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BLAINE T MANNING MD
NPI 1366937138
Orthopaedic Surgery in Saint Louis, MO

Active since June 25, 2018PECOS EnrolledAccepts Medicare Assignment
77.82/100
CMS Quality Rating
2325 DOUGHERTY FERRY RD STE 100, SAINT LOUIS, MO 63122(314) 909-1359(314) 909-1370 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 11, 2023, Jun 25, 2018 (2 updates tracked since 2018).

About Blaine T Manning Md NPPES

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

BLAINE T MANNING MD (NPI 1366937138) is an individual orthopaedic surgery provider in Saint Louis, Missouri, licensed in Missouri (2018020296) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Rush Medical College Of Rush University (2018).

NPPES Registry Identity

NPI1366937138
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameBLAINE T MANNINGCredential: MD
Location Address2325 DOUGHERTY FERRY RD STE 100Saint Louis, MO 63122-3356
Mailing Address1120 15th St # Or6000Augusta, GA 30912-0004 · (706) 721-3813
Phone(314) 909-1359
Fax(314) 909-1370
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2018
Enumeration DateJune 25, 2018
Last NPPES UpdateOctober 28, 20252 updates tracked since enumeration
NPPES CertifiedOctober 28, 2025
✔ NPI 1366937138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in MO · 2018020296✔ Licensed in GA · 95437
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2325 DOUGHERTY FERRY RD STE 100, Saint Louis, MO 63122
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Blaine T Manning Md 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 ID6608124425
PECOS Enrollment IDI20250924000522
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 Blaine Manning reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Lukes Medical Group
5.5 mi
Family Medicine
232 S WOODS MILL RD
Chesterfield, MO 63017
  • Reassigned Medicare billing, Missouri enrollment
  • 16 clinicians in this Medicare group
NPI 1215308945 (636) 685-7804
Wellstar Medical Group, LLC
436 mi
Family Medicine
12 MEDICAL DR NE
Cartersville, GA 30121
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1588059653 (770) 386-1000
Au Medical Associates Inc
590 mi
Multi-Specialty
1120 15TH ST
Augusta, GA 30912
  • Reassigned Medicare billing, Georgia enrollment
  • 1,151 clinicians in this Medicare group
NPI 1841230620 (706) 721-2273

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 10

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
170 services18 patients
X-ray lower and sacral spine, minimum of 6 views 72114
An X-ray of the lower and sacral spine involves capturing images of the bones in your lower back and tailbone area. It helps to identify issues like fractures, infections, or degenerative diseases. A minimum of 6 views ensures a comprehensive examination.
44 services44 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
33 services28 patients
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.
28 services24 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.
18 services15 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63122 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
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.

77.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.04
Promoting Interoperability92
Improvement Activities40
Cost60.7

Other Providers at the Same Location NPPES 4

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

PAXTECUM HEALTH LLC
Orthopaedic Surgery
2325 DOUGHERTY FERRY RD STE 100
SAINT LOUIS, MO 63122
St. Louis County (314) 909-1359
SAMUEL JAMES MOLL PA
Physician Assistant
2325 DOUGHERTY FERRY RD STE 100
SAINT LOUIS, MO 63122
St. Louis County (618) 401-9856
KEVIN DOUGLAS RUTZ MD
Orthopaedic Surgery
2325 DOUGHERTY FERRY RD STE 100
SAINT LOUIS, MO 63122
St. Louis County (314) 909-1359
CASEY LEIGH DAVIS PA-C
Physician Assistant (Surgical)
2325 DOUGHERTY FERRY RD STE 100
SAINT LOUIS, MO 63122
St. Louis County (314) 909-1359

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 Blaine Manning's NPI number?

The NPI number for Blaine Manning is 1366937138. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Where is Blaine Manning located?

Blaine Manning practices at 2325 Dougherty Ferry Rd Ste 100, Saint Louis, MO 63122. The listed phone number is (314) 909-1359.

What is Blaine Manning's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Blaine Manning enrolled in Medicare?

Yes. Blaine Manning 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 Blaine Manning's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blaine Manning reassigns Medicare benefits to 3 organizations: St. Lukes Medical Group (Chesterfield, MO), Wellstar Medical Group, LLC (Cartersville, GA) and Au Medical Associates Inc (Augusta, GA). 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 Blaine Manning's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Blaine Manning accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 5 other insurers list Blaine Manning 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 Blaine Manning affiliated with any hospitals?

According to CMS data, Blaine Manning is affiliated with St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Blaine Manning was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.