CHARLES RICHARD BLAKE (MD) – Ophthalmology Physician, NPI 1386645224

CHARLES RICHARD BLAKE (MD) is a healthcare provider. based in Gainesville, Florida. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 29828 (SC). The NPI Number for CHARLES RICHARD BLAKE (MD) is 1386645224

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES RICHARD BLAKE (MD)
NPI
1386645224
Phone
(352) 392-3451
Address
1600 SW ARCHER RD
Enumeration Date
2 August 2005
Last Update Date
1 June 2020

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
3522658982
Graduation Year
2000 (26 years ago)
PAC ID
4082671037
Group Practice PAC ID
0345146254
Professional Enrollment ID
I20041213000037
Address ID
FL326081532GA2001XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,552 OPHTHALMOLOGY in FL

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Provider Addresses for CHARLES RICHARD BLAKE (MD)

  • UF Health Shands Hospital, 1600, Archer Road, Gainesville, Alachua County, Florida, 32608, United States

    GAINESVILLE, FL 326100371

    Phone: (352) 392-3451

    Type: Location

  • 6201 W Newberry Rd

    Gainesville, FL 326054305

    Phone: (352) 265-2020

    Fax: (352) 265-7081

    Type: Location

  • PO BOX 100284

    GAINESVILLE, FL 326100284

    Phone: (352) 273-8778

    Fax: (352) 273-7402

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2023-05-01 • Largest payer in this snapshot: ABBVIE INC. ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$27
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: 2004-12-13

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041213000037IOphthalmologyFLTBD

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 minutes711466$0
92083Exam of visual field with extended testing338296$0
92133Imaging of optic nerve306290$0
99213Established patient office or other outpatient visit, 20-29 minutes173155$0
99215Established patient office or other outpatient visit, 40-54 minutes161142$0
View full utilization report →

Insurance plans in this area (ZIP 32610)

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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: 0345146254View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to CHARLES RICHARD BLAKE (MD)?
NPI 1386645224 is assigned to CHARLES RICHARD BLAKE (MD) under the national enumeration system.
Is CHARLES RICHARD BLAKE (MD) currently active in the NPI registry?
CMS-published data lists CHARLES RICHARD BLAKE (MD) as an active registrant.
What field does CHARLES RICHARD BLAKE (MD) work in?
You can think of CHARLES RICHARD BLAKE (MD) as practicing within Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where is CHARLES RICHARD BLAKE (MD)'s primary listing?
We display Gainesville, Florida because that is what the record indicates for CHARLES RICHARD BLAKE (MD).
Is CHARLES RICHARD BLAKE (MD) a real provider?
This page reflects official NPPES data for NPI 1386645224. Always confirm identity and privileges with the practice and licensing boards.

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