Active NPI 1558451849 Individual Practitioner Male Practitioner

Dr. Timothy Blain , MD

Pediatrics • Englewood, FL

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Blain, MD is a registered healthcare professional specializing in Pediatrics in Englewood, FL. Practice services are available at 779 MEDICAL DR STE 2 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, blood test, comprehensive group of blood chemicals. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

779 Medical Dr Ste 2

Englewood, FL 342233980

Telephone 9416986363

Fax 9418005848

Associated Practice Facility / Clinic

🏢 One Key Home Care - Florida, Llc Facility NPI 1427439512

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Englewood, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 22.2 Yrs

Regional Practice Density

4 Specialists

Practicing in Englewood, FL (4160 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	363	288	$297.00	$108.76
36415 Insertion of needle into vein for collection of blood sample	205	166	$23.00	$2.96
80053 Blood test, comprehensive group of blood chemicals	131	120	$67.00	$10.39
80061 Blood test, lipids (cholesterol and triglycerides)	124	116	$91.00	$13.18
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	121	121	$321.00	$115.98
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	96	91	$42.00	$7.64
84443 Blood test, thyroid stimulating hormone (TSH)	79	78	$99.00	$16.52
99213 Established patient office or other outpatient visit, typically 15 minutes	47	40	$201.00	$74.01
83036 Hemoglobin A1C level	45	42	$73.00	$9.55
82043 Urine microalbumin (protein) level	45	45	$16.00	$5.68
82306 Vitamin d-3 level	42	40	$112.00	$29.09
82570 Creatinine level to test for kidney function or muscle injury	41	41	$30.00	$5.10
81003 Automated urinalysis test	39	39	$25.00	$2.21
82607 Cyanocobalamin (vitamin B-12) level	29	29	$123.00	$14.81
81001 Manual urinalysis test with examination using microscope, automated	23	23	$36.00	$3.12
83735 Magnesium level	23	20	$32.00	$6.59
83540 Iron level	18	15	$37.00	$6.37
82728 Ferritin (blood protein) level	17	15	$87.00	$13.42
84439 Thyroxine (thyroid chemical), free	17	17	$55.00	$8.87
83550 Iron binding capacity	17	14	$41.00	$8.60
84550 Uric acid level, blood	12	12	$37.00	$4.46
G0442 Annual alcohol misuse screening, 5 to 15 minutes	12	12	$50.00	$17.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$122.00	$45.88
G0103 Prostate cancer screening; prostate specific antigen test (psa)	11	11	$70.00	$19.03
84153 Psa (prostate specific antigen) measurement, total	11	11	$145.00	$18.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	917	468	$297.00	$108.48
36415 Insertion of needle into vein for collection of blood sample	696	390	$23.00	$2.94
80053 Blood test, comprehensive group of blood chemicals	539	357	$67.00	$11.51
80061 Blood test, lipids (cholesterol and triglycerides)	511	353	$91.00	$14.58
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	396	305	$42.00	$8.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	337	337	$321.00	$115.82
84443 Blood test, thyroid stimulating hormone (TSH)	314	282	$99.00	$18.30
G0442 Annual alcohol misuse screening, 5 to 15 minutes	261	261	$50.00	$17.77
99213 Established patient office or other outpatient visit, typically 15 minutes	239	162	$201.00	$74.10
G0444 Annual depression screening, 5 to 15 minutes	205	205	$50.00	$17.84
82043 Urine microalbumin (protein) level	200	187	$16.00	$6.29
81003 Automated urinalysis test	183	173	$25.00	$2.44
82570 Creatinine level to test for kidney function or muscle injury	182	172	$30.00	$5.63
83036 Hemoglobin A1C level	169	120	$73.00	$10.57
82306 Vitamin d-3 level	128	116	$112.00	$32.23
G0008 Administration of influenza virus vaccine	123	123	$39.15	$16.24
82607 Cyanocobalamin (vitamin B-12) level	119	109	$123.00	$16.41
90662 Influenza vaccine split virus, preservative free	116	116	$89.00	$54.78
81001 Manual urinalysis test with examination using microscope, automated	106	102	$36.00	$3.45
83735 Magnesium level	95	86	$32.00	$7.29
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	79	18	$15.00	$1.61
83540 Iron level	77	54	$37.00	$7.05
83550 Iron binding capacity	75	52	$41.00	$9.52
82728 Ferritin (blood protein) level	73	50	$87.00	$14.85
84153 Psa (prostate specific antigen) measurement, total	65	45	$145.00	$20.03
G0103 Prostate cancer screening; prostate specific antigen test (psa)	58	58	$70.00	$20.03
84439 Thyroxine (thyroid chemical), free	54	41	$55.00	$9.82
86140 Measurement C-reactive protein for detection of infection or inflammation	49	39	$31.00	$5.63
83970 Parathormone (parathyroid hormone) level	45	39	$304.00	$44.94
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	45	37	$30.00	$4.18
81002 Urinalysis, manual test	41	36	$20.00	$3.41
84550 Uric acid level, blood	39	35	$37.00	$4.92
G0009 Administration of pneumococcal vaccine	36	36	$33.00	$15.79
84100 Phosphate level	36	31	$23.00	$5.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	28	$122.00	$44.79
82746 Folic acid level	27	25	$103.00	$16.01
80048 Blood test, basic group of blood chemicals (calcium, total)	26	24	$47.00	$9.21
20610 Aspiration and/or injection of fluid from large joint	22	18	$196.59	$61.51
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$461.00	$166.20
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$216.00	$109.46
90670 Pneumococcal vaccine for injection into muscle	18	18	$425.00	$195.96
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	12	$148.00	$53.06
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	13	$56.00	$22.32
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	12	12	$51.00	$17.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	935	496	$297.00	$106.68
36415 Insertion of needle into vein for collection of blood sample	594	300	$23.00	$2.94
80053 Blood test, comprehensive group of blood chemicals	464	287	$67.00	$12.78
80061 Blood test, lipids (cholesterol and triglycerides)	453	285	$91.00	$16.20
G0442 Annual alcohol misuse screening, 5 to 15 minutes	386	386	$50.00	$17.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	378	378	$321.00	$115.14
99213 Established patient office or other outpatient visit, typically 15 minutes	348	220	$201.00	$72.26
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	347	256	$42.00	$9.40
G0444 Annual depression screening, 5 to 15 minutes	326	326	$50.00	$17.58
84443 Blood test, thyroid stimulating hormone (TSH)	262	237	$99.00	$20.33
G0008 Administration of influenza virus vaccine	189	188	$25.00	$19.91
82043 Urine microalbumin (protein) level	187	174	$16.00	$7.00
82570 Creatinine level to test for kidney function or muscle injury	183	171	$30.00	$6.26
90662 Influenza vaccine split virus, preservative free	178	178	$89.00	$52.30
83036 Hemoglobin A1C level	160	98	$73.00	$11.75
81003 Automated urinalysis test	153	145	$25.00	$2.71
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	111	15	$15.00	$1.76
82306 Vitamin d-3 level	107	90	$112.00	$35.82
85610 Blood test, clotting time	97	12	$31.00	$4.75
81001 Manual urinalysis test with examination using microscope, automated	95	94	$36.00	$3.84
82607 Cyanocobalamin (vitamin B-12) level	89	80	$123.00	$18.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	67	$122.00	$43.34
83735 Magnesium level	68	52	$32.00	$8.10
83540 Iron level	67	45	$37.00	$7.83
83550 Iron binding capacity	67	45	$41.00	$10.57
G0103 Prostate cancer screening; prostate specific antigen test (psa)	56	56	$70.00	$22.26
82728 Ferritin (blood protein) level	54	40	$87.00	$16.49
G0009 Administration of pneumococcal vaccine	46	46	$26.00	$19.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$460.00	$164.54
84550 Uric acid level, blood	40	35	$37.00	$5.47
83970 Parathormone (parathyroid hormone) level	39	31	$304.00	$49.94
84153 Psa (prostate specific antigen) measurement, total	35	24	$145.00	$22.26
84100 Phosphate level	32	25	$23.00	$5.73
84439 Thyroxine (thyroid chemical), free	32	26	$55.00	$10.91
81002 Urinalysis, manual test	29	26	$20.00	$3.41
86140 Measurement C-reactive protein for detection of infection or inflammation	27	24	$31.00	$6.26
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	27	25	$30.00	$4.29
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	26	26	$216.00	$105.59
80048 Blood test, basic group of blood chemicals (calcium, total)	24	19	$47.00	$10.23
90670 Pneumococcal vaccine for injection into muscle	20	20	$425.00	$197.34
20610 Aspiration and/or injection of fluid from large joint	20	13	$216.25	$64.25
82746 Folic acid level	17	17	$103.00	$17.79
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	15	14	$56.00	$21.04
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$461.00	$164.79
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$51.00	$16.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	746	456	$297.00	$106.23
36415 Insertion of needle into vein for collection of blood sample	530	295	$23.00	$2.94
80053 Blood test, comprehensive group of blood chemicals	429	283	$67.00	$10.68
80061 Blood test, lipids (cholesterol and triglycerides)	405	271	$91.00	$14.38
G0442 Annual alcohol misuse screening, 5 to 15 minutes	353	353	$50.00	$17.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	323	323	$321.00	$113.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	316	245	$42.00	$10.45
G0444 Annual depression screening, 5 to 15 minutes	281	281	$50.00	$17.56
84443 Blood test, thyroid stimulating hormone (TSH)	205	194	$99.00	$22.59
99213 Established patient office or other outpatient visit, typically 15 minutes	188	130	$201.00	$71.98
82043 Urine microalbumin (protein) level	174	162	$16.00	$2.37
82570 Creatinine level to test for kidney function or muscle injury	174	162	$30.00	$6.96
G0008 Administration of influenza virus vaccine	162	158	$25.00	$24.50
81003 Automated urinalysis test	151	142	$25.00	$3.02
90662 Influenza vaccine split virus, preservative free	151	147	$89.00	$47.72
83036 Hemoglobin A1C level	135	90	$73.00	$13.05
81001 Manual urinalysis test with examination using microscope, automated	86	80	$36.00	$4.26
G0009 Administration of pneumococcal vaccine	68	68	$26.00	$24.61
85610 Blood test, clotting time	68	13	$31.00	$5.28
82306 Vitamin d-3 level	67	58	$112.00	$39.80
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	64	12	$15.00	$1.81
82607 Cyanocobalamin (vitamin B-12) level	61	58	$123.00	$20.27
G0103 Prostate cancer screening; prostate specific antigen test (psa)	52	52	$70.00	$24.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	44	$122.00	$42.93
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	49	39	$30.00	$4.77
86140 Measurement C-reactive protein for detection of infection or inflammation	46	35	$31.00	$6.96
83540 Iron level	44	37	$37.00	$8.70
83550 Iron binding capacity	44	37	$41.00	$11.75
90670 Pneumococcal vaccine for injection into muscle	42	42	$425.00	$186.90
83735 Magnesium level	40	29	$32.00	$9.01
82728 Ferritin (blood protein) level	36	30	$87.00	$18.33
84550 Uric acid level, blood	35	27	$37.00	$4.61
84153 Psa (prostate specific antigen) measurement, total	27	20	$145.00	$24.73
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	26	26	$216.00	$95.53
84439 Thyroxine (thyroid chemical), free	25	24	$55.00	$12.12
80048 Blood test, basic group of blood chemicals (calcium, total)	21	16	$47.00	$9.59
81002 Urinalysis, manual test	18	15	$20.00	$3.43
83970 Parathormone (parathyroid hormone) level	17	12	$304.00	$55.49
20610 Aspiration and/or injection of fluid from large joint	16	11	$173.00	$57.24
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	16	16	$56.00	$19.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$460.00	$163.23
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$476.00	$168.51
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$461.00	$163.80

Medical Specialties & State Licenses

CMS Verified: 2021-07-24

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME107462

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License FL ME107462

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

003184600 (FL)

Commercial Insurance / Payer ID Railroad Medicare

P00865254 (FL)

Secondary Practice Locations

900 East Pine St, Suite 111

Englewood, FL 342234418

Phone: 9414759869

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location July 24, 2021

Registered at 779 MEDICAL DR STE 2, ENGLEWOOD, FL 342233980 (Tel: 9416986363)

📍

Updated Business Mailing Address July 24, 2021

Registered at 779 MEDICAL DR STE 2, ENGLEWOOD, FL 342233980 (Tel: 9416986363)

✅

NPI Profile Active August 02, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 02, 2013

Registered at 900 EAST PINE ST, SUITE 111, ENGLEWOOD, FL 342234418 (Tel: 9414759869)

📍

Updated Business Mailing Address August 02, 2013

Registered at 900 EAST PINE ST, SUITE 111, ENGLEWOOD, FL 342234418 (Tel: 9414759869)

👤

Provider Name / Credentials Updated August 02, 2013

Recorded as TIMOTHY BLAIN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2013

Internal Medicine (License #ME107462 in FL)

🟢

Initial NPI Registration & Enumeration October 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1558451849

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 15, 2006

Last Update: July 24, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

779 Medical Dr Ste 2

Englewood, FL 342233980

Phone: 9416986363

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.