NPIMap

Individual provider Active NPI

Blaine Lee Farless, MD

  • Orthopaedic Surgery Physician
  • Cleburne, TX
National Provider Identifier
1881633766
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
J1659 Issued in TX
Practice address
2010 W Katherine P Raines Rd
Suite 300
Cleburne, TX 76033-7435
Phone
(817) 556-3212
Fax
(817) 556-2388
NPI assigned
Jun 6, 2006
Last updated
Sep 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X J1659 TX Primary

Addresses

Primary practice location

2010 W Katherine P Raines Rd
Suite 300
Cleburne, TX 76033-7435

Mailing address

2010 W Katherine P Raines Rd
Suite 300
Cleburne, TX 76033-7435
Phone (817) 556-3212

Other identifiers 1

IdentifierTypeStateIssuer
047918001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101006001017 TX Practitioner - Orthopedic Surgery 9739109059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Medical School at San Antonio, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chisholm Trail Orthopedics and Sports Medicine, LLLPGroup PAC ID 7618916883, 13 clinicians

Practice addresses (Care Compare)

2010 W Katherine P Raines Rd
Suite 300
Cleburne, TX 76033-7447
Phone 8175563212201

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement24
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J1659TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chisholm Trail Orthopedics & Sports Medicine, LLLP Orthopaedic Surgery CurrentSince Sep 14, 1992 Accepting new patients
Chisholm Trail Orthopedics & Sports Medicine, LLLP Orthopaedic Surgery CurrentSince Sep 14, 1992 Accepting new patients

Locations

2010 W Katherine P Raines Rd
Ste 300
Cleburne, TX 76033
Phone (817) 556-3212

5540 Sycamore School Rd
Ste 312
Ft Worth, TX 76123
Phone (817) 556-3212

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1881633766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 W KATHERINE P RAINES RD",
            "address_2": "SUITE 300",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760337435",
            "telephone_number": "817-556-3212",
            "fax_number": "817-556-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 W KATHERINE P RAINES RD",
            "address_2": "SUITE 300",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760337435",
            "telephone_number": "817-556-3212",
            "fax_number": "817-556-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLESS",
        "first_name": "BLAINE",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "J1659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047918001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

Verify at the official NPI Registry.