Doctor profile · Federal record

Dr. THEODORE BLAINE, MD

Sports Medicine (Orthopaedic Surgery) Physician (CMS: ORTHOPEDIC SURGERY) · Orthopaedic Surgery Physician · Orthopaedic Surgery Physician · Orthopaedic Surgery Physician · NEW YORK, NY

  • NPI 1376576421
  • Accepts Medicare
  • MIPS 75.0 / 100 · 2023
  • 33 yrs in practice
  • Licensed in 3 states
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
535 E 70TH ST
NEW YORK, NY 100214823
(203) 705-0766
fax (860) 247-3803
Mailing address
PO BOX 29234
NEW YORK, NY 100879234

Credentials & registration

NPPES · NUCC
NPI registered
July 2006 — 20 yrs on file
Profile last updated
December 21, 2020
Year of graduation
1993 — 33 yrs since
Specialty taxonomy
207XX0005X — NUCC code
State licenses (4)
Connecticut #039067 · Rhode Island #12523 · New York #196273-1 · Connecticut #39067

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1376576421. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
1,149
Distinct HCPCS
9
Medicare allowed
$190,115
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 380 265 $133
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 357 62 $1
99204 New patient office or other outpatient visit, 45-59 minutes 154 150 $174
20610 Aspiration and/or injection of fluid from large joint 93 70 $73
23430 Anchoring of biceps tendon 50 50 $391
23472 Prosthetic repair of shoulder joint, total shoulder 49 49 $1,503
99203 New patient office or other outpatient visit, 30-44 minutes 33 33 $118
76000 Imaging guidance for procedure, 60 minutes or less 17 15 $16
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose 16 14 $508

In context: peer comparison

Among 21 peers in this city , average services per provider: 130. This provider delivers 8.8× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$201,796
Transactions
25
Manufacturers
4
Payer (manufacturer) Industry Txns Amount
Catalyst OrthoScience 10 $194,148.69
Smith+Nephew, Inc. 10 $6,197.13
Limacorporate S.p.A. 1 $1,190.00
Stryker Corporation 4 $260.42

By nature of payment

Royalty or License
$194,149
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
$4,306
Travel and Lodging
$1,262
Consulting Fee
$1,190
Food and Beverage
$890

Hospital affiliations

CMS Hospital Compare