2026 NPPES data Surgery Physician NPI 1912087347 MD
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DARLENE BLANCHARD, MD

Surgery Physician in FREDERICKSBURG, Virginia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
300
Medicare Part D claims · 139 beneficiaries · Surgery Physician avg: 169

What the federal data shows

DARLENE BLANCHARD, MD filed 300 Medicare Part D claims in 2023 as a Surgery Physician in FREDERICKSBURG, Virginia.

300
Part D claims, 2023

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

DARLENE BLANCHARD, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

300 Top 43% higher than 57% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

DARLENE BLANCHARD, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about DARLENE BLANCHARD, MD?

Quality data not reported

NPI registry status

Active

Issued 10/17/2006

NPI 1912087347

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

300 78% vs specialty avg

2023 prescription claims

Specialty avg: 169

Specialty distribution in Virginia

How Surgery Physician compares to other specialties among Virginia providers

Virginia providers

Surgery Physician share within Virginia

1. Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Surgery Physician share within Virginia

Specialty board-certification context

Estimated specialty board-certified rate — Surgery Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Surgery Physician ABMS/AOA estimate

Est. board-certified rate (Surgery Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Surgery Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

DARLENE BLANCHARD, MD appears in the CMS NPPES registry as a Surgery Physician provider holding MD credentials at 4548 EMPIRE CT, FREDERICKSBURG, VA, 22408, with a listed phone of (540) 373-2244. NPI 1912087347 was issued on 10/17/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BLANCHARD most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 300 prescription claims written by this provider, covering 139 Medicare beneficiaries and totaling roughly $10K in drug spend, with an opioid prescribing rate of 29.3%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

4548 EMPIRE CT
FREDERICKSBURG, VA 22408

Provider Details

NPI 1912087347
Specialty Surgery Physician
Credentials MD
Gender Female
NPI Issued 10/17/2006

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

300
Total Claims
$10K
Total Drug Cost
139
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
587
Total Day Supply
14,623
Generic Drug Cost
$10K
Opioid Claims
88 (29.3% rate)
Antibiotic Claims
22

Patient Demographics

Average Patient Age
73.1 years
Avg HCC Risk Score
1.06

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What DARLENE BLANCHARD, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Anastrozole
69
Tamoxifen Citrate
54
Tramadol Hcl
40
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
34
Raloxifene Hcl
29
Cephalexin
19
Exemestane
17

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Surgery Physician Overview

How DARLENE BLANCHARD, MD fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

DARLENE BLANCHARD, MD's 300 claims are above the specialty average of 169.

Nearby Surgery Physician Providers in Virginia

Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as BLANCHARD.

Compare Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DARLENE BLANCHARD, MD's specialty?
DARLENE BLANCHARD, MD specializes in Surgery Physician and practices in FREDERICKSBURG, Virginia. Credentials: MD.
How much does DARLENE BLANCHARD, MD prescribe under Medicare Part D?
In 2023, DARLENE BLANCHARD, MD wrote 300 Medicare Part D claims totaling $10K in drug costs for 139 beneficiaries.
Where is DARLENE BLANCHARD, MD located?
DARLENE BLANCHARD, MD is located at 4548 EMPIRE CT, FREDERICKSBURG, VA, 22408. Phone: (540) 373-2244.
What is DARLENE BLANCHARD, MD's NPI number?
DARLENE BLANCHARD, MD's National Provider Identifier (NPI) is 1912087347, issued on 10/17/2006.
Does DARLENE BLANCHARD, MD prescribe opioids?
Yes, DARLENE BLANCHARD, MD had 88 opioid claims in 2023 with an opioid prescribing rate of 29.3%.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does DARLENE BLANCHARD, MD prescribe most often?
Based on 2023 Medicare Part D data, DARLENE BLANCHARD, MD's most frequently prescribed drugs include Anastrozole, Tamoxifen Citrate, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DARLENE BLANCHARD, MD accept Medicare?
DARLENE BLANCHARD, MD appears in CMS Medicare data with 300 Part D claims and 139 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DARLENE BLANCHARD, MD's credentials?
DARLENE BLANCHARD, MD's NPI is 1912087347 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology