DR. BLAINE PRICHARD MD
NPI 1992400576
Family Medicine in Orchard Park, NY

Active since April 03, 2023PECOS EnrolledAccepts Medicare Assignment
3670 S BENZING RD STE A, ORCHARD PARK, NY 14127(716) 662-5357 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 7, 2026, Apr 18, 2024, Apr 3, 2023 (3 updates tracked since 2023).

About Dr. Blaine Prichard Md NPPES

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

DR. BLAINE PRICHARD MD (NPI 1992400576) is an individual family medicine provider in Orchard Park, New York, licensed in New York (340404) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania State University College Of Medicine (2023).

NPPES Registry Identity

NPI1992400576
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BLAINE PRICHARDCredential: MD
Location Address3670 S BENZING RD STE AOrchard Park, NY 14127-1741
Mailing Address3670 S Benzing Rd Ste AOrchard Park, NY 14127-1741
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2023
Enumeration DateApril 3, 2023
Last NPPES UpdateAugust 7, 20263 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1992400576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 340404
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3670 S BENZING RD STE A, Orchard Park, NY 14127

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

Dr. Blaine Prichard 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 ID3870051873
PECOS Enrollment IDI20260820000134
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 Reassignment

Medicare enrollment records show Blaine Prichard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
3670 SOUTH BENZING RD, SUITE A
Orchard Park, NY 14127
  • Reassigned Medicare billing, New York enrollment
  • 13 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14127 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
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

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

Nurse Practitioner (Family)
3670 S BENZING RD STE A
ORCHARD PARK, NY 14127

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 Prichard's NPI number?

The NPI number for Blaine Prichard is 1992400576. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Blaine Prichard located?

Blaine Prichard practices at 3670 S Benzing Rd Ste A, Orchard Park, NY 14127. The listed phone number is (716) 662-5357.

What is Blaine Prichard's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Blaine Prichard enrolled in Medicare?

Yes. Blaine Prichard 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 organization bills Medicare for Blaine Prichard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blaine Prichard reassigns Medicare benefits to Orchard Park Family Practice, PC (Orchard Park, NY). The 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 Prichard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Blaine Prichard was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.