ADAM ROBERT BLAKEMAN (PA-C) – Medical Physician Assistant, NPI 1275071128

ADAM ROBERT BLAKEMAN (PA-C) is a healthcare provider. based in Rigby, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA-1474 (ID). The NPI Number for ADAM ROBERT BLAKEMAN (PA-C) is 1275071128

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
ADAM ROBERT BLAKEMAN (PA-C)
NPI
1275071128
Phone
(208) 745-5021
Address
711 RIGBY LAKE DR STE 115
Enumeration Date
10 February 2017
Last Update Date
10 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2085521234
Graduation Year
2016 (10 years ago)
PAC ID
4981981974
Group Practice PAC ID
4486562774
Professional Enrollment ID
I20170428001479
Address ID
ID834047407ID2375XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,534 PHYSICIAN ASSISTANT in ID

Provider Addresses for ADAM ROBERT BLAKEMAN (PA-C)

  • 711 RIGBY LAKE DR STE 115

    RIGBY, ID 834425230

    Phone: (208) 745-5021

    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 87 Open Payments records for all available years, with a total value of $1,524.

Total Amount is formed as General ($1,524) + Research ($0) + Ownership ($0) = $1,524.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($443).

Total Amount

$1,524

General + Research + Ownership

Payments

87

Total payment records

General Amount

$1,524

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2017-04-28

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
I20170428001479IPhysician AssistantIDTBD

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
J0696Injection, ceftriaxone sodium, per 250 mg25956$0
99213Established patient office or other outpatient visit, 20-29 minutes250176$0
99214Established patient office or other outpatient visit, 30-39 minutes180144$0
36415Insertion of needle into vein for collection of blood sample177142$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg12018$0
View full utilization report →

Insurance plans in this area (ZIP 83442)

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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: 4486562774View full group profile
NameSpecialtyState
-ID
Certified Registered Nurse Anesthetist (Crna)ID
Osteopathic Manipulative MedicineWY
Physical Medicine And RehabilitationID
Nurse PractitionerTX
Nurse PractitionerID
Qualified AudiologistID
Certified Registered Nurse Anesthetist (Crna)TX
Cardiovascular Disease (Cardiology), Internal MedicineID
Nurse PractitionerID

Reviews

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Frequently asked questions

How do I look up ADAM ROBERT BLAKEMAN (PA-C) by NPI?
Use NPI 1275071128 when you need to reference ADAM ROBERT BLAKEMAN (PA-C) in forms, claims, or directories.
Is ADAM ROBERT BLAKEMAN (PA-C) active in the national directory?
ADAM ROBERT BLAKEMAN (PA-C)'s public NPI profile is in an active state.
What does ADAM ROBERT BLAKEMAN (PA-C) treat or focus on?
Patients typically see ADAM ROBERT BLAKEMAN (PA-C) under the specialty Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for ADAM ROBERT BLAKEMAN (PA-C)?
The page summarizes Rigby, Idaho for ADAM ROBERT BLAKEMAN (PA-C); 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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