MR. BLAKE WILLIAM BARTHOLOMEW – Physician Assistant, NPI 1821468893
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,232 PHYSICIAN ASSISTANT in FL
Provider Addresses for MR. BLAKE WILLIAM BARTHOLOMEW
PO BOX 5005
BAY PINES, FL 337445005
Phone: (727) 398-6661
Type: Mailing
10000 BAY PINES BLVD
BAY PINES, FL 337448200
Phone: (727) 398-6661
Type: Location
835 23RD AVE
VERO BEACH, FL 329603950
Phone: (772) 473-1095
Type: Mailing
1265 36TH ST
VERO BEACH, FL 329606574
Phone: (772) 567-6340
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $258.
Total Amount is formed as General ($258) + Research ($0) + Ownership ($0) = $258.
Last reported payment date: 2024-10-04 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($258).
Total Amount
$258
General + Research + Ownership
Payments
3
Total payment records
General Amount
$258
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $258 |
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: 2024-01-22
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 |
|---|---|---|---|---|
| I20240122000742 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33744)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | NJ | |
| - | FL | |
| - | FL | |
| R H E U M A T O L O G Y | OH | |
| Family Practice | WI | |
| Critical Care (Intensivists), Pulmonary Disease | OH | |
| Orthopedic Surgery | FL | |
| - | FL | |
| Infectious Disease | FL | |
| Family Practice | FL |
Reviews
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