DR. JACK D BLAINE M.D.
NPI 1720139199
Psychiatry & Neurology - Psychiatry in Bethesda, MD

Q: What is Jack Blaine's NPI number?

The NPI number for Jack Blaine is 1720139199. It was assigned to this individual provider in the NPPES registry on January 14, 2007.

Q: What is Jack Blaine's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Jack Blaine was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since January 14, 2007PECOS Enrolled

4400 E WEST HWY, SUITE 225, BETHESDA, MD 20814(301) 983-4493(301) 983-9379 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jack D Blaine M.d. NPPES

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

DR. JACK D BLAINE M.D. (NPI 1720139199) is an individual psychiatry provider in Bethesda, Maryland, licensed in Maryland (D0004502) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1968).

NPPES Registry Identity

NPI1720139199

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. JACK D BLAINECredential: M.D.

Location Address4400 E WEST HWY, SUITE 225Bethesda, MD 20814-4524

Mailing Address10821 Larkmeade LnPotomac, MD 20854-2704 · (301) 983-4493 · Fax (301) 983-9379

Phone(301) 983-4493

Fax(301) 983-9379

Sole ProprietorYes

Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1968

Enumeration DateJanuary 14, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1720139199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in MD · D0004502

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

4400 E WEST HWY, Bethesda, MD 20814

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Other Identifiers 1

Medicare ID-Type Unspecified161-967MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jack D Blaine M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709947401

PECOS Enrollment IDI20151105001818

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 2

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

95 services17 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.

95 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20814 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

$194.86 typical visit price

range $65.18 – $194.86

Typical copayment $48.71 (range $16.29 – $48.71)

Most-billed visit code 99205

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

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.

Other Providers at the Same Location NPPES 20

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

PAULETTE NEHAMA LCSW-C

Social Worker (Clinical)

4400 E WEST HWY, #907
BETHESDA, MD 20814

Montgomery County (301) 657-4329

KING THERAPEUTIC AND ASSESSMENT SERVICES

Community/Behavioral Health

4400 E WEST HWY
BETHESDA, MD 20814

Montgomery County (301) 641-2686

DR. STEVEN SAMUEL SCHULMAN PH. D.

Psychologist (Clinical)

4400 E WEST HWY, SUITE 1028
BETHESDA, MD 20814

Montgomery County (301) 657-3733

ALISON CARELLI LCSW-C

Social Worker (Clinical)

4400 E WEST HWY, SUITE 907
BETHESDA, MD 20814

Montgomery County (301) 657-4329

MS. ROBIN HOFFLAND MANSFIELD LCSW-C

Social Worker (Clinical)

4400 E WEST HWY, SUITE 907
BETHESDA, MD 20814

Montgomery County (301) 657-4329

MRS. ROBERTA LYNN MARTIN LCPC

Counselor (Pastoral)

4400 E WEST HWY, SUITE 26
BETHESDA, MD 20814

Montgomery County (301) 908-8110

DR. SETH KING PSY.D.

Psychologist (Clinical)

4400 E WEST HWY, SUITE 26
BETHESDA, MD 20814

Montgomery County (301) 641-2686

MS. SHARON NANCY WILLIG MA, CCC-SLP

Speech-Language Pathologist

4400 E WEST HWY, #329
BETHESDA, MD 20814

Montgomery County (301) 718-1999

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 Jack Blaine's NPI number?

The NPI number for Jack Blaine is 1720139199. It was assigned to this individual provider in the NPPES registry on January 14, 2007.

Where is Jack Blaine located?

Jack Blaine practices at 4400 E West Hwy Suite 225, Bethesda, MD 20814. The listed phone number is (301) 983-4493.

What is Jack Blaine's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jack Blaine enrolled in Medicare?

Yes. Jack Blaine is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Blaine was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.