RICHARD W. BLAKE (PA-C) – Medical Physician Assistant, NPI 1740235829
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
234 INTERNAL MEDICINE in AK
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Provider Addresses for RICHARD W. BLAKE (PA-C)
3600, East Wickersham Way, Wasilla, Matanuska-Susitna, Alaska, 99654, United States
WASILLA, AK 99654
Phone: (907) 373-5950
Fax: (907) 373-5954
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 366 Open Payments records for all available years, with a total value of $7,508.
Total Amount is formed as General ($7,508) + Research ($0) + Ownership ($0) = $7,508.
Last reported payment date: 2024-12-24 • Largest payer in this snapshot: ABBVIE INC. ($1,662).
Total Amount
$7,508
General + Research + Ownership
Payments
366
Total payment records
General Amount
$7,508
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,662 |
| AstraZeneca Pharmaceuticals LP | $1,091 |
| GlaxoSmithKline, LLC. | $755 |
| Amgen Inc. | $381 |
| ITI, Inc. | $238 |
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: 2006-06-08
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 |
|---|---|---|---|---|
| I20060608000043 | I | Physician Assistant | AK | 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 | 1,291 | 428 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 241 | 57 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 208 | 156 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 208 | 138 | $0 |
| 81003 | Automated urinalysis test | 137 | 82 | $0 |
Insurance plans in this area (ZIP 99654)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | AK | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | AK | |
| Physician Assistant | AK | |
| Nurse Practitioner | AK |
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