RAYA BLACKWELL – Medical Physician Assistant, NPI 1194414292
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,232 PHYSICIAN ASSISTANT in FL
Provider Addresses for RAYA BLACKWELL
755 RINEHART RD STE 100
LAKE MARY, FL 327464885
Phone: (407) 320-8100
Type: Mailing
1116 BLUE GARDEN DR
DELAND, FL 327206541
Phone: (205) 914-1264
Type: Mailing
1590 S SR 15A STE 100
DELAND, FL 327207817
Phone: (386) 774-0016
Fax: (386) 774-0606
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $318.
Total Amount is formed as General ($318) + Research ($0) + Ownership ($0) = $318.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Amgen Inc. ($139).
Total Amount
$318
General + Research + Ownership
Payments
10
Total payment records
General Amount
$318
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $139 |
| Novo Nordisk Inc | $72 |
| Averitas Pharma Inc. | $26 |
| Lilly USA, LLC | $22 |
| GlaxoSmithKline, LLC. | $22 |
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: 2023-10-03
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 |
|---|---|---|---|---|
| I20231003003587 | I | Physician Assistant | FL | 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 | 58 | 55 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 15 | 15 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 15 | 15 | $0 |
| 99497 | Advance care planning, first 30 minutes | 13 | 13 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 13 | 13 | $0 |
Insurance plans in this area (ZIP 32746)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Sports Medicine | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Internal Medicine | OK | |
| Physician Assistant | FL | |
| Family Practice | FL | |
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| Nurse Practitioner | KY |
Reviews
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