BLAKE CHANEY (DDS) – Oral and Maxillofacial Surgery (Dentist), NPI 1194216887

BLAKE CHANEY (DDS) is a healthcare provider. based in Colorado springs, Colorado. specializing in ORAL SURGERY. They hold the professional credentials DDS. They hold a License No. DEN.00205868 (CO). The NPI Number for BLAKE CHANEY (DDS) is 1194216887

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
BLAKE CHANEY (DDS)
NPI
1194216887
Phone
(719) 434-1584
Address
4105 BRIARGATE PKWY STE 240
Enumeration Date
29 May 2018
Last Update Date
20 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
7194341584
Graduation Year
2021 (5 years ago)
PAC ID
0648714329
Group Practice PAC ID
9537404702
Professional Enrollment ID
I20240705001449
Address ID
CO809207844CO4105XPKWY301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

29 ORAL SURGERY in CO

Provider Addresses for BLAKE CHANEY (DDS)

  • 4105 BRIARGATE PKWY STE 240

    COLORADO SPRINGS, CO 809207844

    Phone: (719) 434-1584

    Type: Location

  • Forbes Avenue, North Oakland, Pittsburgh, Allegheny County, Pennsylvania, 15213, United States

    PITTSBURGH, PA 152133410

    Phone:

    Type: Mailing

  • 203 Lothrop St Ste 214

    Pittsburgh, PA 152132548

    Phone: (412) 648-6801

    Type: Location

  • 214, Lothrop Street, West Oakland, Pittsburgh, Allegheny County, Pennsylvania, 15213, United States

    PITTSBURGH, PA 152132548

    Phone: (412) 648-6801

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $2,143.

Total Amount is formed as General ($2,143) + Research ($0) + Ownership ($0) = $2,143.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Stryker Corporation ($1,970).

Total Amount

$2,143

General + Research + Ownership

Payments

16

Total payment records

General Amount

$2,143

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-07-05

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
I20240705001449IOral SurgeryCOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80920)

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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: 9537404702View full group profile

Reviews

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Frequently asked questions

What number should I use to identify BLAKE CHANEY (DDS) for billing?
Administrative and clinical systems typically use NPI 1194216887 for BLAKE CHANEY (DDS).
Is BLAKE CHANEY (DDS)'s NPI status active today?
Active status means BLAKE CHANEY (DDS)'s NPI record is not deactivated in the public file.
What does the directory say BLAKE CHANEY (DDS) does?
Insurance directories may phrase it differently, but here BLAKE CHANEY (DDS) maps to Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
What geographic area is tied to BLAKE CHANEY (DDS)?
BLAKE CHANEY (DDS) is associated with Colorado Springs, Colorado in the same public data insurers reference.
Can I export BLAKE CHANEY (DDS)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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