PHILIP A BLAUSTEIN MD
NPI 1861445538
Radiology - Diagnostic Radiology in Bradenton, FL

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2020 59TH ST WEST, BLAKE MEDICAL CENTER, BRADENTON, FL 34209(941) 792-6611 Get Directions Write a Review

NPPES record last updated: May 17, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Philip A Blaustein Md NPPES

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

PHILIP A BLAUSTEIN MD (NPI 1861445538) is an individual diagnostic radiology provider in Bradenton, Florida, licensed in Florida (ME66591) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Sarasota Doctors Hospital, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1861445538
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NamePHILIP A BLAUSTEINCredential: MD
Location Address2020 59TH ST WEST, BLAKE MEDICAL CENTERBradenton, FL 34209
Mailing Address804 40th St West, Stoutamyer-stratos-schroeder-whaley-rizzo & Assoc Md PaBradenton, FL 34205 · (941) 749-5464 · Fax (941) 747-1815
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateMay 17, 2006
Last NPPES UpdateMay 17, 2010
✔ NPI 1861445538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in FL · ME66591
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License ME66591 (FL)
2020 59TH ST WEST, Bradenton, FL 34209

Other Identifiers 4

Medicare PIN25623XFL
Medicare PIN25632FL
Medicare UPINF24421FL
Medicaid375966100FL

Accepted 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

Philip A Blaustein 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 ID5294718938
PECOS Enrollment IDI20040712000807
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 58

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
942 services619 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
224 services224 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
222 services210 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
220 services220 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
196 services185 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
137 services127 patients

Hospital Affiliations CMS Care Compare 5

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

Hca Florida Sarasota Doctors Hospital

Acute Care Hospitals · Sarasota, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100166
Location5731 Bee Ridge RdSarasota, FL 34233 · Sarasota County
Emergency services

Hca Florida Blake Hospital

Acute Care Hospitals · Bradenton, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100213
Location2020 59th St WBradenton, FL 34209 · Manatee County
Emergency services

Hca Florida Fawcett Hospital

Acute Care Hospitals · Port Charlotte, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100236
Location21298 Olean BlvdPort Charlotte, FL 33952 · Charlotte County
Emergency services

Hca Florida Northside Hospital

Acute Care Hospitals · Saint Petersburg, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100238
Location6000 49th St NSaint Petersburg, FL 33709 · Pinellas County
Emergency services

Hca Florida Englewood Hospital

Acute Care Hospitals · Englewood, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100267
Location700 Medical BlvdEnglewood, FL 34223 · Sarasota County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34209 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%191 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%29 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Radiology (Diagnostic Radiology)
2020 59TH ST WEST, BLAKE MEDICAL CENTER
BRADENTON, FL 34209
Radiology (Diagnostic Radiology)
2020 59TH ST WEST, BLAKE MEDICAL CENTER
BRADENTON, FL 34209
Radiology (Diagnostic Radiology)
2020 59TH ST WEST, BLAKE MEDICAL CENTER
BRADENTON, FL 34209
Radiology (Diagnostic Radiology)
2020 59TH ST WEST, BLAKE MEDICAL CENTER
BRADENTON, FL 34209

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 Blaustein's NPI number?

The NPI number for Philip Blaustein is 1861445538. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Philip Blaustein located?

Philip Blaustein practices at 2020 59th St West Blake Medical Center, Bradenton, FL 34209. The listed phone number is (941) 792-6611.

What is Philip Blaustein's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Philip Blaustein enrolled in Medicare?

Yes. Philip Blaustein 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 Philip Blaustein accept?

Health plans from Molina Healthcare, Oscar Health Maintenance Organization of Florida and Wellpoint list Philip Blaustein 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 Blaustein affiliated with any hospitals?

According to CMS data, Philip Blaustein is affiliated with Hca Florida Sarasota Doctors Hospital, Hca Florida Blake Hospital, Hca Florida Fawcett Hospital, Hca Florida Northside Hospital and Hca Florida Englewood Hospital.

When was this NPI record last updated?

The NPPES record for Philip Blaustein was last updated on May 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.