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BLAINE C ETZEL PA-C
NPI 1881686590
Physician Assistant in Smithfield, NC

Active since August 18, 2005PECOS EnrolledAccepts Medicare Assignment
88.4/100
CMS Quality Rating
100 KELLIE DR, SMITHFIELD, NC 27577(919) 220-5255(919) 313-1276 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blaine C Etzel Pa-c NPPES

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

BLAINE C ETZEL PA-C (NPI 1881686590) is an individual physician assistant in Smithfield, North Carolina, licensed in North Carolina (0010-10604) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2000).

NPPES Registry Identity

NPI1881686590
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBLAINE C ETZELCredential: PA-C
Location Address100 KELLIE DRSmithfield, NC 27577-9444
Mailing Address120 William Penn PlzDurham, NC 27704-2150 · (919) 220-5255 · Fax (919) 313-1276
Phone(919) 220-5255
Fax(919) 313-1276
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2000
Enumeration DateAugust 18, 2005
Last NPPES UpdateSeptember 23, 2020
NPPES CertifiedSeptember 23, 2020
✔ NPI 1881686590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NC · 0010-10604✔ Licensed in WA · PA10004050✔ Licensed in MT · 299
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.
100 KELLIE DR, Smithfield, NC 27577
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Other Identifiers 1

Other0010-10604NC · North Carolina Medical Board

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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 C Etzel 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 ID8628095460
PECOS Enrollment IDI20200930002387
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 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.
224 services43 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.
122 services99 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
101 services101 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.
54 services47 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
33 services30 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
27 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27577 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

88.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.91
Promoting Interoperability99
Improvement Activities40
Cost67.25

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.

MICHAEL WAYNE MADSEN M.D.
Orthopaedic Surgery
100 KELLIE DR
SMITHFIELD, NC 27577
Johnston County (919) 934-1094
EMILY LOUISE DOWTY PA-C
Physician Assistant
100 KELLIE DR
SMITHFIELD, NC 27577
Johnston County (919) 220-5255
KENDALL NELMS LANGSTON PA-C
Physician Assistant
100 KELLIE DR
SMITHFIELD, NC 27577
Johnston County (919) 220-5255
DR. DEREN THOMAS BAGSBY M.D.
Orthopaedic Surgery
100 KELLIE DR
SMITHFIELD, NC 27577
Johnston County (919) 934-1094
MS. ANTOINETTE A ALLEN PT, BS, MPT
Physical Therapist
100 KELLIE DR
SMITHFIELD, NC 27577
Johnston County (919) 934-1094
DR. STEVEN AVERY KELHAM PA-C
Physician Assistant
100 KELLIE DR
SMITHFIELD, NC 27577
Johnston County (919) 934-1094
BRADFORD AUSTIN HACKNEY PA-C
Physician Assistant
100 KELLIE DR
SMITHFIELD, NC 27577
Johnston County (919) 220-5255
NATHAN DAVID HEINEMAN MD
Orthopaedic Surgery (Hand Surgery)
100 KELLIE DR
SMITHFIELD, NC 27577
Johnston County (919) 220-5255

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 Etzel's NPI number?

The NPI number for Blaine Etzel is 1881686590. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Blaine Etzel located?

Blaine Etzel practices at 100 Kellie Dr, Smithfield, NC 27577. The listed phone number is (919) 220-5255.

What is Blaine Etzel's specialty?

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

Is Blaine Etzel enrolled in Medicare?

Yes. Blaine Etzel 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 Etzel accept?

Health plans from Blue Cross and Blue Shield of NC list Blaine Etzel 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 Etzel was last updated on September 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.