DR. BLAKE WILLIAM CAIN (MD, MS) – Family Medicine Physician, NPI 1528790656

DR. BLAKE WILLIAM CAIN (MD, MS) is a healthcare provider. based in Springfield, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials MD, MS. They hold a License No. 12508281 (IL). The NPI Number for DR. BLAKE WILLIAM CAIN (MD, MS) is 1528790656

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. BLAKE WILLIAM CAIN (MD, MS)
NPI
1528790656
Phone
(217) 545-8000
Address
PO BOX 19670
Enumeration Date
28 June 2022
Last Update Date
22 August 2025

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6189951002
Graduation Year
2022 (4 years ago)
PAC ID
7113308420
Group Practice PAC ID
6800705427
Professional Enrollment ID
I20250708002529
Address ID
IL629392323GO211XXBROA300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

Provider Addresses for DR. BLAKE WILLIAM CAIN (MD, MS)

  • PO BOX 19670

    SPRINGFIELD, IL 627949670

    Phone: (217) 545-8000

    Type: Mailing

  • 520 N 4TH ST

    SPRINGFIELD, IL 627025238

    Phone: (217) 545-8000

    Type: Location

  • 211 N BROADWAY

    GOREVILLE, IL 629392323

    Phone: (618) 995-1002

    Fax: (618) 995-0204

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-07-08

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
I20250708002529IFamily PracticeILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62794)

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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: 6800705427View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Physician AssistantIL
Family PracticeIL
Family PracticeCO
Clinical Social WorkerIL
Family PracticeIL
Nurse PractitionerIL
Nurse PractitionerIL
Physician AssistantIL
Physician AssistantIL

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does DR. BLAKE WILLIAM CAIN (MD, MS) have a public NPI I can cite?
Public records show DR. BLAKE WILLIAM CAIN (MD, MS) under NPI 1528790656.
Should I treat DR. BLAKE WILLIAM CAIN (MD, MS) as an active provider?
Patients and plans typically see DR. BLAKE WILLIAM CAIN (MD, MS) as active in the national extract.
What does the directory say DR. BLAKE WILLIAM CAIN (MD, MS) does?
Insurance directories may phrase it differently, but here DR. BLAKE WILLIAM CAIN (MD, MS) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. BLAKE WILLIAM CAIN (MD, MS)?
DR. BLAKE WILLIAM CAIN (MD, MS) shows a connection to Springfield, Illinois in registry-derived data.
Why is information missing for DR. BLAKE WILLIAM CAIN (MD, MS)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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