Brad D. Blankenhorn, M.D.
Orthopaedic Surgery Physician · East Providence, RI
Brad D. Blankenhorn, M.D. is an orthopaedic surgery physician with a practice address in East Providence, Rhode Island, and NPI 1003033119, issued on Apr 19, 2007. Check the license (Rhode Island MD13206, as entered in NPPES) on the Rhode Island Board of Medical Licensure and Discipline; the Medicare figures below come from public CMS files.
- Name
- Brad D. Blankenhorn
- Credential
- M.D.
- Primary taxonomy
- Orthopaedic Surgery Physician 207X00000X
- License numbers
- MD13206 RI
2012-0546 NM
Self-reported in NPPES; status is on the state search - Practice location
- 1 Kettle Point Ave, East Providence, RI 02914
- Phone
- (401) 330-1405
- Enumerated
- Apr 19, 2007
- Record last updated
- Feb 14, 2019 (not updated in 7 years: call before relying on the address or phone)
- Fax
- (401) 277-0799
- Medicaid ID
- BB81009 RI
- Medicare enrollment
- Enrolled (PECOS I20220324001219); accepts Medicare assignment
- Medical or professional school
- University Of Pittsburgh School Of Medicine, 2005
- Entity
- Type 1 · individual
8 nearest orthopaedic surgery physician records → All 138 in Rhode Island → Look up another NPI →
Also registered at 1 Kettle Point Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Roy Aaron, M.D.Orthopaedic Surgery Physician1336189661
- Krista Acciaioli, PA-CPhysician Assistant1760811525
- Valentin Antoci, MD, PHDOrthopaedic Surgery Physician1093942823
- Eva Asirifi, PA-CPhysician Assistant1831058809
- Aaron Atlas, DOOrthopaedic Surgery Physician1568048049
- Virajkuvarba Baptiste, PTPhysical Therapist1700499647
Verify Brad D. Blankenhorn in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersRhode Island Board of Medical Licensure and Discipline
Search for license MD13206Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
55% fewer Medicare Part D claims than the average orthopaedic surgery physician in 2024
157 Medicare Part D claims for 51 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D. 53 claims were for opioids.
Most prescribed
- Oxycodone Hcl51 claims
- Ibuprofen35 claims
- Naloxone Hcl20 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 75.4 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- University Orthopedics IncMansfield, MA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Brad D. Blankenhorn among 138 orthopaedic surgery physician records in Rhode Island
Brad D. Blankenhorn, M.D. is one of 138 orthopaedic surgery physician records with a practice address in Rhode Island. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 37% of them.
- NPI issued2007 · 37% of these records are older, 57% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 61% of these records are
- Graduated2005 · median 2013 among the 84 with a school on file
- Record last updated2019 · 46% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207X00000X and a Rhode Island practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
28 orthopaedic surgery physician records list a practice address in East Providence
They are 28 of the 779 NPPES records with a practice address in East Providence, and 138 orthopaedic surgery physician records in Rhode Island.
All 138 in Rhode Island → Every provider in East Providence → Orthopaedic Surgery Physician nationwide →
The 8 orthopaedic surgery physician records with the nearest ZIP codes
- Roy Aaron, M.D.East Providence, RI 029141336189661
- Valentin Antoci, MD, PHDEast Providence, RI 029141093942823
- Vamsy Bobba, MDEast Providence, RI 029141861887440
- Aristides Cruz, MDEast Providence, RI 029141568646800
- Alan Daniels, MDEast Providence, RI 029141760642698
- Bassel Diebo, M.D.East Providence, RI 029141760914576
- John Froehlich, M.D.East Providence, RI 029141811939705
- Jack Goldstein, M.D.1208E Providence, RI 029141245233261
Common questions
What is Brad D. Blankenhorn, M.D.'s NPI number?
Brad D. Blankenhorn, M.D.'s National Provider Identifier (NPI) is 1003033119, issued on Apr 19, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Brad D. Blankenhorn, M.D. located?
The NPPES record lists a practice address at 1 Kettle Point Ave, East Providence, RI, 02914. Phone: (401) 330-1405. Providers update this record themselves, so call before visiting.
How can I verify Brad D. Blankenhorn, M.D.'s license?
NPPES lists Rhode Island license number MD13206, as entered by the provider. Search the Rhode Island Board of Medical Licensure and Discipline at https://healthri.mylicense.com/Verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Brad D. Blankenhorn, M.D. prescribe under Medicare Part D?
In 2024, Brad D. Blankenhorn, M.D. had 157 Medicare Part D claims for 51 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.
What is Brad D. Blankenhorn, M.D.'s MIPS final score?
The 2023 MIPS final score is 75.4 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.