BLAZE D EMERSON (DO) – Orthopaedic Surgery Physician, NPI 1568987014

BLAZE D EMERSON (DO) is a healthcare provider. based in Stuart, Florida. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials DO. They hold a License No. OS19620 (FL). The NPI Number for BLAZE D EMERSON (DO) is 1568987014

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
BLAZE D EMERSON (DO)
NPI
1568987014
Phone
(772) 283-5500
Address
2221 SE Ocean Blvd Ste 200
Enumeration Date
6 August 2017
Last Update Date
12 December 2023

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Secondary Phone
77233553002015
Graduation Year
2017 (9 years ago)
PAC ID
6901280460
Group Practice PAC ID
5294728465
Professional Enrollment ID
I20230703001908
Address ID
FL349522320PO7710X1XXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,916 ORTHOPEDIC SURGERY in FL

Provider Addresses for BLAZE D EMERSON (DO)

  • 2221 SE Ocean Blvd Ste 200

    Stuart, FL 349963341

    Phone: (772) 283-5500

    Fax: (772) 200-2131

    Type: Location

  • Broward Health Medical Center, 1600, South Andrews Avenue, Fort Lauderdale, Broward County, Florida, 33316, United States

    FORT LAUDERDALE, FL 333162510

    Phone:

    Type: Mailing

  • 7710 S US HIGHWAY 1

    PORT ST LUCIE, FL 349522320

    Phone: (772) 335-5300

    Fax: (772) 200-2131

    Type: Mailing

  • 9735 N 90TH PL

    SCOTTSDALE, AZ 852585067

    Phone: (480) 222-4954

    Fax: (480) 210-5460

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 97 Open Payments records for all available years, with a total value of $6,787.

Total Amount is formed as General ($6,787) + Research ($0) + Ownership ($0) = $6,787.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Stryker Corporation ($1,679).

Total Amount

$6,787

General + Research + Ownership

Payments

97

Total payment records

General Amount

$6,787

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2023-07-03

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230703001908IOrthopedic SurgeryFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes10668$0
72110X-ray of lower and sacral spine, minimum of 4 views7171$0
63048Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment5229$0
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion4630$0
99203New patient office or other outpatient visit, 30-44 minutes4141$0
View full utilization report →

Insurance plans in this area (ZIP 34996)

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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: 5294728465View full group profile
NameSpecialtyState
-FL
Orthopedic Surgery, Diagnostic Radiology, Hand Surgery, Physical Medicine And RehabilitationFL
Physician AssistantFL
Orthopedic SurgeryFL
Physician AssistantFL
Physical Therapist In Private PracticeGA
Physician AssistantFL
-FL
Orthopedic SurgeryFL
Orthopedic SurgeryFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for BLAZE D EMERSON (DO)?
BLAZE D EMERSON (DO) — NPI 1568987014 — is the standard way to identify this listing.
Does CMS list BLAZE D EMERSON (DO) as active?
Yes — BLAZE D EMERSON (DO) is active in the NPI listing used on this page.
What is BLAZE D EMERSON (DO) best known for clinically?
Directory data describes BLAZE D EMERSON (DO) with Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is BLAZE D EMERSON (DO) based?
BLAZE D EMERSON (DO) is tied to Stuart, Florida in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
7 practice locations appear in the available data.

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