DR. BRETT PATRICK BLAKE (M.D.) – Dermatology Physician, NPI 1376772707
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,369 DERMATOLOGY in FL
Provider Addresses for DR. BRETT PATRICK BLAKE (M.D.)
18228 N US HIGHWAY 41
LUTZ, FL 335494400
Phone: (813) 321-1786
Fax: (813) 321-1787
Type: Mailing
525 N DACIE PT
LECANTO, FL 344618399
Phone: (813) 321-1786
Fax: (813) 321-1787
Type: Location
Regions Bank, 15051, South Tamiami Trail, Fort Myers, Lee County, Florida, 33908, United States
SUITE 203
FORT MYERS, FL 339085182
Phone: (239) 437-8810
Fax: (239) 313-2555
Type: Mailing
4002, Sun City Center Boulevard, Arbors at Freedom Plaza, Sun City Center, Hillsborough County, Florida, 33573, United States
UNIT 102
SUN CITY CENTER, FL 335735256
Phone: (813) 634-1455
Fax: (813) 642-8355
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $740.
Total Amount is formed as General ($740) + Research ($0) + Ownership ($0) = $740.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($245).
Total Amount
$740
General + Research + Ownership
Payments
34
Total payment records
General Amount
$740
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2016-01-13
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 |
|---|---|---|---|---|
| I20160113000570 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,820 | 293 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 685 | 544 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 485 | 378 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 461 | 378 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 189 | 168 | $0 |
Insurance plans in this area (ZIP 33549)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Nurse Practitioner | FL | |
| D E R M A T O L O G Y | FL | |
| - | FL | |
| Physician Assistant | FL | |
| D E R M A T O L O G Y | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL | |
| Physician Assistant | FL |
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