Philip Paine, M.D.
NPI 1255642815 · Internal Medicine Physician · Port Charlotte, FL
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Philip Paine, M.D. is a Internal Medicine Physician provider in Port Charlotte, FL (NPI 1255642815).
Provider details
- NPI number
- 1255642815
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 24661 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 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
491 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) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 407 | $160 |
| Critical Care, First 30-74 Minutes99291 | 72 | $198 |
| Initial Hospital Care With Same-Day Admission and Discharge With High Level of Medical Decision Making, Per Day, If Using Time, at Least 85 Minutes99236 | 12 | $194 |
Typical Medicare-allowed amounts for these services range $160–$198 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$16 across 1 record (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
- 2010-06-29
- Last updated
- 2017-10-10
Frequently asked questions
- What is Philip Paine's NPI number?
- Philip Paine's National Provider Identifier (NPI) is 1255642815, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Philip Paine's specialty?
- Philip Paine is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Philip Paine located?
- Philip Paine's practice location on file with NPPES is 3390 Tamiami Trl, Port Charlotte, FL 33952-8157.
- What is Philip Paine's phone number?
- The practice phone number listed in the NPPES registry for Philip Paine is (941) 391-5496.
- Does Philip Paine accept Medicare?
- Philip Paine is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Philip Paine's NPI active?
- Yes — Philip Paine's NPI (1255642815) is active in the NPPES registry as of the last update on 2017-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.