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BLAINE PHILLIP CARMICHAEL PA-C
NPI 1386633121
Physician Assistant in San Antonio, TX

Active since October 14, 2005PECOS EnrolledAccepts Medicare Assignment
408 NAVARRO ST, SAN ANTONIO, TX 78205(210) 272-1741(210) 272-1747 Get Directions Write a Review

NPPES record last updated: May 25, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blaine Phillip Carmichael Pa-c NPPES

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

BLAINE PHILLIP CARMICHAEL PA-C (NPI 1386633121) is an individual physician assistant in San Antonio, Texas, licensed in Texas (PA00009) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1976).

NPPES Registry Identity

NPI1386633121
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBLAINE PHILLIP CARMICHAELCredential: PA-C
Location Address408 NAVARRO STSan Antonio, TX 78205-2502
Mailing Address1045 Central Parkway North, Suite 200San Antonio, TX 78232-5024 · (210) 541-4500 · Fax (210) 541-4508
Phone(210) 272-1741
Fax(210) 272-1747
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateOctober 14, 2005
Last NPPES UpdateMay 25, 2012
✔ NPI 1386633121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA00009
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
408 NAVARRO ST, San Antonio, TX 78205
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Other Identifiers 1

Medicare PINTXB103796TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Blaine Phillip Carmichael Pa-c 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 ID6305978743
PECOS Enrollment IDI20100720000677
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.

Areas of Expertise CMS Part B claims 8

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.
138 services112 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
88 services81 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
35 services35 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.
24 services22 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.
23 services22 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78205 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims27 services$6.29 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers11 claims11 services$28.99 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers16 claims80 services$1.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

JEFFERSON LEE RODIECK PA-C
Physician Assistant
408 NAVARRO ST
SAN ANTONIO, TX 78205
Bexar County (210) 272-1741
DR. SCOTT SHAW MCNEILL MD
Family Medicine
408 NAVARRO ST
SAN ANTONIO, TX 78205
Bexar County (210) 272-1741
MONICA RENEE HILL M.D.
Family Medicine
408 NAVARRO ST
SAN ANTONIO, TX 78205
Bexar County (210) 272-1741

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 Carmichael's NPI number?

The NPI number for Blaine Carmichael is 1386633121. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Where is Blaine Carmichael located?

Blaine Carmichael practices at 408 Navarro St, San Antonio, TX 78205. The listed phone number is (210) 272-1741.

What is Blaine Carmichael's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Blaine Carmichael enrolled in Medicare?

Yes. Blaine Carmichael 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.

What insurance does Blaine Carmichael accept?

Health plans from Oscar Insurance Company list Blaine Carmichael 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.

When was this NPI record last updated?

The NPPES record for Blaine Carmichael was last updated on May 25, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.