BLAKE MASTERS (AAC) – Anesthesiologist Assistant, NPI 1134521164

BLAKE MASTERS (AAC) is a healthcare provider. based in Gainesville, Georgia. specializing in ANESTHESIOLOGY ASSISTANT. They hold the professional credentials AAC. They hold a License No. 007322 (GA). The NPI Number for BLAKE MASTERS (AAC) is 1134521164

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
BLAKE MASTERS (AAC)
NPI
1134521164
Phone
(770) 532-7179
Address
PO BOX 1076
Enumeration Date
22 September 2014
Last Update Date
22 September 2014

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7705327179
Graduation Year
2014 (12 years ago)
PAC ID
1153541388
Group Practice PAC ID
2769381771
Professional Enrollment ID
I20141009002025
Address ID
GA305175600BR1400XPLXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,383 ANESTHESIOLOGY ASSISTANT in GA

Provider Addresses for BLAKE MASTERS (AAC)

  • PO BOX 1076

    GAINESVILLE, GA 305031076

    Phone: (770) 532-7179

    Fax: (770) 534-1312

    Type: Mailing

  • 743 SPRING ST NE

    GAINESVILLE, GA 305013715

    Phone: (770) 532-7179

    Fax: (770) 534-1312

    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 $100.

Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.

Last reported payment date: 2024-08-16 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($73).

Total Amount

$100

General + Research + Ownership

Payments

3

Total payment records

General Amount

$100

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-16

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: 2014-10-09

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
I20141009002025IAnesthesiology AssistantGATBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1919$0
36620Insertion of artery tube for blood sampling or infusion through skin1716$0
76937Ultrasonic guidance for blood vessel access1413$0
View full utilization report →

Insurance plans in this area (ZIP 30503)

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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: 2769381771View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YTN
Anesthesiology AssistantGA
Anesthesiology AssistantGA
Anesthesiology AssistantGA
A N E S T H E S I O L O G YAL
A N E S T H E S I O L O G YGA
-GA
Anesthesiology, Critical Care (Intensivists)GA
Certified Registered Nurse Anesthetist (Crna)GA
Anesthesiology AssistantGA

Reviews

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Frequently asked questions

What federal number belongs to BLAKE MASTERS (AAC)?
The federal identifier for BLAKE MASTERS (AAC) is NPI 1134521164.
Is BLAKE MASTERS (AAC)'s NPI currently valid?
The extract we use shows BLAKE MASTERS (AAC) as active.
Can you summarize BLAKE MASTERS (AAC)'s specialty in plain language?
Clinically, the directory lists BLAKE MASTERS (AAC) with Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for BLAKE MASTERS (AAC)?
The page summarizes Gainesville, Georgia for BLAKE MASTERS (AAC); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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