Doctor profile · Federal record
Dr. Jack Blaine, CRNA
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Certified Registered Nurse Anesthetist · Certified Registered Nurse Anesthetist · Certified Registered Nurse Anesthetist · Albuquerque, NM
- NPI 1811999642
- Accepts Medicare
- MIPS 82.4 / 100 · 2023
- 37 yrs in practice
- Licensed in 4 states
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
6709 Academy RD Ne Ste A
Albuquerque, NM 871093363
(505) 312-4712 - Mailing address
-
36720 Palm CT
Rancho Mirage, CA 922702206
Credentials & registration
- NPI registered
- August 2005 — 21 yrs on file
- Profile last updated
- January 19, 2022
- Year of graduation
- 1989 — 37 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State licenses (4)
- New Mexico #CRNA00868 · Arizona #CRNA0061 · Texas #AP108435 · California #NA1771
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1811999642. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
377
Distinct HCPCS
4
Medicare allowed
$46,898
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00811 |
Anesthesia for other procedure on large bowel using an endoscope | 205 | 202 | $119 | |
00731 |
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 84 | 81 | $131 | |
00813 |
Anesthesia for procedure on small and large bowel using an endoscope | 58 | 58 | $145 | |
00812 |
Anesthesia for exam of colon using an endoscope | 30 | 30 | $99 |
In context: peer comparison
Among 28 peers in Albuquerque Certified Registered Nurse Anesthetist, average services per provider: 30. This provider delivers 13× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Jack Blaine's medical specialty?
Dr. Jack Blaine practices Certified Registered Nurse Anesthetist in Albuquerque, NM.
Where does Dr. Jack Blaine practice?
Dr. Jack Blaine practices at 6709 Academy RD Ne Ste A, Albuquerque, NM 871093363. Office phone: 5053124712.
What is Dr. Jack Blaine's NPI?
Dr. Jack Blaine's National Provider Identifier (NPI) is 1811999642, issued by NPPES.
Does Dr. Jack Blaine accept Medicare assignment?
Yes. Dr. Jack Blaine accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jack Blaine commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on large bowel using an endoscope (HCPCS 00811); Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS 00731); Anesthesia for procedure on small and large bowel using an endoscope (HCPCS 00813). Source: CMS Medicare Physician & Other Practitioners file.