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
- 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
- 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
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
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 New York Sports Medicine (Orthopaedic Surgery) Physician, average services per provider: 130. This provider delivers 8.8× the peer median.Open Payments
Industry payments received
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
Hospital affiliations
Frequently asked questions
What is Dr. Theodore Blaine's medical specialty?
Dr. Theodore Blaine practices Sports Medicine (Orthopaedic Surgery) Physician in New York, NY.
Where does Dr. Theodore Blaine practice?
Dr. Theodore Blaine practices at 535 E 70Th St, New York, NY 100214823. Office phone: 2037050766.
What is Dr. Theodore Blaine's NPI?
Dr. Theodore Blaine's National Provider Identifier (NPI) is 1376576421, issued by NPPES.
Does Dr. Theodore Blaine accept Medicare assignment?
Yes. Dr. Theodore Blaine accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Theodore Blaine commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS J3301); New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.