JUDITH ELISE BLAKE (PA-C) – Surgical Physician Assistant, NPI 1942749965
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JUDITH ELISE BLAKE (PA-C)
1505 DAPHNE AVE
DAPHNE, AL 365264298
Phone: (251) 625-2663
Fax: (251) 625-3198
Type: Location
4517, Southlake Parkway, Southlake, Hoover, Shelby County, Alabama, 35244, United States
HOOVER, AL 352443280
Phone: (205) 985-4111
Fax: (205) 985-4111
Type: Mailing
Alabama Orthopedic Clinic, 3610, Springhill Memorial Drive, Mobile, Mobile County, Alabama, 36608, United States
MOBILE, AL 366081162
Phone: (251) 410-3600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $875.
Total Amount is formed as General ($875) + Research ($0) + Ownership ($0) = $875.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Medtronic, Inc. ($183).
Total Amount
$875
General + Research + Ownership
Payments
25
Total payment records
General Amount
$875
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $183 |
| Boston Scientific Corporation | $177 |
| Spinal Simplicity, LLC | $138 |
| Curonix LLC | $79 |
| Baxter Healthcare | $78 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-03-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170329001825 | I | Physician Assistant | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 330 | 148 | $0 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 48 | 14 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 19 | 17 | $0 |
Insurance plans in this area (ZIP 36526)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | AL | |
| - | AL | |
| - | AL | |
| - | AL | |
| - | AL | |
| - | AL | |
| - | AL | |
| - | AL | |
| - | AL |
Reviews
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