ANDREW BLAKE COLLETTE (DO) – Orthopaedic Surgery Physician, NPI 1104026442

ANDREW BLAKE COLLETTE (DO) is a healthcare provider. based in Pensacola, Florida. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials DO. They hold a License No. 2023046522 (MO). The NPI Number for ANDREW BLAKE COLLETTE (DO) is 1104026442

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW BLAKE COLLETTE (DO)
NPI
1104026442
Phone
(850) 494-9000
Address
PO BOX 2699
Enumeration Date
24 July 2007
Last Update Date
21 December 2023

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Secondary Phone
4173474570
Graduation Year
2007 (19 years ago)
PAC ID
2769679026
Group Practice PAC ID
8325942253
Professional Enrollment ID
I20131003000194
Address ID
MO648043503JO1102XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,916 ORTHOPEDIC SURGERY in FL

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Provider Addresses for ANDREW BLAKE COLLETTE (DO)

  • PO BOX 2699

    PENSACOLA, FL 325132699

    Phone: (850) 494-9000

    Type: Mailing

  • PO BOX 3810

    JOPLIN, MO 648033810

    Phone: (417) 347-4662

    Type: Mailing

  • 103, North 9th Avenue, Aragon, Pensacola, Escambia County, Florida, 32502, United States

    PENSACOLA, FL 325048770

    Phone: (850) 494-9000

    Fax: (850) 416-1911

    Type: Location

  • 1102 W 32ND ST

    JOPLIN, MO 648043503

    Phone: (417) 347-5400

    Type: Location

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 $228.

Total Amount is formed as General ($228) + Research ($0) + Ownership ($0) = $228.

Last reported payment date: 2024-04-30 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($106).

Total Amount

$228

General + Research + Ownership

Payments

4

Total payment records

General Amount

$228

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-30

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: 2023-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20131003000194IOrthopedic SurgeryMOTBD
I20170624000179IOrthopedic SurgeryFLTBD
I20231021000269IOrthopedic SurgeryMETBD

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
99214Established patient office or other outpatient visit, 30-39 minutes3125$0
73030X-ray of shoulder, minimum of 2 views2614$0
99204New patient office or other outpatient visit, 45-59 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 32513)

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Provider's Procedures

ANDREW BLAKE COLLETTE (DO) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYFL73630X-ray of foot, minimum of 3 views4327

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: 8325942253View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MO
-MO
-MO
Nurse PractitionerKS
U R O L O G YMO
R H E U M A T O L O G YMO
Nurse PractitionerMO
H E M A T O L O G Y/ O N C O L O G YMO
-MO
Sleep Medicine, Pulmonary Disease, Critical Care (Intensivists)MO

Reviews

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Frequently asked questions

Does ANDREW BLAKE COLLETTE (DO) have a public NPI I can cite?
Public records show ANDREW BLAKE COLLETTE (DO) under NPI 1104026442.
Is ANDREW BLAKE COLLETTE (DO) currently accepting referrals based on NPI status?
Registry metadata lists ANDREW BLAKE COLLETTE (DO) as active.
Which specialty label fits ANDREW BLAKE COLLETTE (DO)?
NPPES ties ANDREW BLAKE COLLETTE (DO) to Orthopaedic Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to ANDREW BLAKE COLLETTE (DO)?
The directory associates ANDREW BLAKE COLLETTE (DO) with Pensacola, Florida. Check all listed addresses for suites or satellite offices.
Who maintains ANDREW BLAKE COLLETTE (DO)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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