DR. BLAKE H CLEVELAND (M.D.) – Emergency Medicine Physician, NPI 1124311253

DR. BLAKE H CLEVELAND (M.D.) is a healthcare provider. based in Sonora, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. A131862 (CA). The NPI Number for DR. BLAKE H CLEVELAND (M.D.) is 1124311253

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. BLAKE H CLEVELAND (M.D.)
NPI
1124311253
Phone
Not provided
Address
39 N WASHINGTON ST
Enumeration Date
23 May 2011
Last Update Date
22 August 2014

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
7076465500
Graduation Year
2011 (15 years ago)
PAC ID
8628299757
Group Practice PAC ID
3274010871
Professional Enrollment ID
I20141014002485
Address ID
CA956202024DI1305XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

5,791 EMERGENCY MEDICINE in CA

Provider Addresses for DR. BLAKE H CLEVELAND (M.D.)

  • 39 N WASHINGTON ST

    SONORA, CA 953704758

    Phone:

    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 4 Open Payments records for all available years, with a total value of $3,199.

Total Amount is formed as General ($3,199) + Research ($0) + Ownership ($0) = $3,199.

Last reported payment date: 2024-07-18 • Largest payer in this snapshot: Inari Medical, Inc. ($3,199).

Total Amount

$3,199

General + Research + Ownership

Payments

4

Total payment records

General Amount

$3,199

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Inari Medical, Inc.$3,199
View all Open Payments →|Open Payments Risk Radar →

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: 2014-10-14

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141014002485IEmergency MedicineCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making161158$0
99285Emergency department visit with high level of medical decision making125121$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only11090$0
99291Critical care, first 30-74 minutes3939$0
99283Emergency department visit with low level of medical decision making3838$0
View full utilization report →

Insurance plans in this area (ZIP 95370)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274010871View full group profile
NameSpecialtyState
Family PracticeCA
Nurse PractitionerCA
Infectious DiseaseCA
Physician AssistantCA
Nurse PractitionerCA
Physical Therapist In Private PracticeCA
Pulmonary Disease, Allergy/ImmunologyCA
Family PracticeCA
Nurse PractitionerCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

How is DR. BLAKE H CLEVELAND (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. BLAKE H CLEVELAND (M.D.) with NPI 1124311253.
Is DR. BLAKE H CLEVELAND (M.D.) still practicing?
DR. BLAKE H CLEVELAND (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. BLAKE H CLEVELAND (M.D.)?
For research purposes, treat DR. BLAKE H CLEVELAND (M.D.) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. BLAKE H CLEVELAND (M.D.) serve?
DR. BLAKE H CLEVELAND (M.D.)'s listing highlights Sonora, California; more addresses can appear in NPPES.
Is the information about DR. BLAKE H CLEVELAND (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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