DR. BRYAN DAVID BLAKE (MD) – Family Medicine Physician, NPI 1316930118
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,102 FAMILY PRACTICE in GA
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Provider Addresses for DR. BRYAN DAVID BLAKE (MD)
Thornton Road, Lithia Springs, Douglas County, Georgia, 30122, United States
LITHIA SPRINGS, GA 301222634
Phone: (770) 948-5400
Fax: (770) 948-4930
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 133 Open Payments records for all available years, with a total value of $3,881.
Total Amount is formed as General ($3,881) + Research ($0) + Ownership ($0) = $3,881.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Novo Nordisk Inc ($619).
Total Amount
$3,881
General + Research + Ownership
Payments
133
Total payment records
General Amount
$3,881
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $619 |
| Abbott Laboratories | $560 |
| AstraZeneca Pharmaceuticals LP | $554 |
| Bayer Healthcare Pharmaceuticals Inc. | $348 |
| Dexcom, Inc. | $304 |
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: 2004-03-23
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 |
|---|---|---|---|---|
| I20040323000644 | I | Family Practice | GA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 207 | 65 | $0 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 119 | 34 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 113 | 61 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 91 | 20 | $0 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 78 | 21 | $0 |
Insurance plans in this area (ZIP 30122)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | GA | 81002 | Urinalysis, manual test | 14 | 12 |
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