Michael Blubaugh, MD
NPI 1013016138 · Internal Medicine Physician · Walterboro, SC
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Blubaugh, MD is a Internal Medicine Physician provider in Walterboro, SC (NPI 1013016138).
Provider details
- NPI number
- 1013016138
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 19591 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,082 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 496 | $120 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 173 | $16 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 127 | $74 |
| Hemodialysis Procedure With Physician Evaluation90935 | 56 | $67 |
| Blood Glucose (sugar) Test Performed By Hand-Held Instrument82962 | 36 | $3 |
| Insertion of Needle Into Vein for Collection of Blood Sample |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 146 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 461 | 153 |
| Atorvastatin Calcium | 312 | 93 |
| Losartan Potassium | 295 | 89 |
| Buprenorphine Hcl/Naloxone Hclbrand: Buprenorphine-Naloxone | 181 | 15 |
| Metformin Hcl | 157 | 44 |
| Gabapentin | 144 | 49 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$36 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-22
- Last updated
- 2011-04-26
Frequently asked questions
- What is Michael Blubaugh's NPI number?
- Michael Blubaugh's National Provider Identifier (NPI) is 1013016138, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Blubaugh's specialty?
- Michael Blubaugh is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Blubaugh located?
- Michael Blubaugh's practice location on file with NPPES is 461 Spruce St, Walterboro, SC 29488-2766.
- What is Michael Blubaugh's phone number?
- The practice phone number listed in the NPPES registry for Michael Blubaugh is (843) 549-4335.
- Does Michael Blubaugh accept Medicare?
- Michael Blubaugh is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Blubaugh's NPI active?
- Yes — Michael Blubaugh's NPI (1013016138) is active in the NPPES registry as of the last update on 2011-04-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.