DR. JEFFREY M BLAKE (MD) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1477545127
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
962 OBSTETRICS/GYNECOLOGY in IN
Provider Addresses for DR. JEFFREY M BLAKE (MD)
141 W 22ND ST STE 309
ANDERSON, IN 460164389
Phone: (765) 646-8569
Type: Location
14540 PRAIRIE LAKES BLVD N STE 110
NOBLESVILLE, IN 460604370
Phone: (317) 982-5222
Fax: (317) 982-5223
Type: Mailing
8840, Commerce Park Place, Indianapolis, Indiana, 46268, United States
INDIANAPOLIS, IN 462683129
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 65 Open Payments records for all available years, with a total value of $5,798.
Total Amount is formed as General ($5,798) + Research ($0) + Ownership ($0) = $5,798.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Axonics, Inc. ($2,769).
Total Amount
$5,798
General + Research + Ownership
Payments
65
Total payment records
General Amount
$5,798
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axonics, Inc. | $2,769 |
| Medtronic, Inc. | $1,330 |
| COLOPLAST CORP | $1,324 |
| Astellas Pharma US Inc | $125 |
| MAYNE PHARMA COMMERCIAL LLC | $121 |
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: 2005-04-01
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 |
|---|---|---|---|---|
| I20050401000176 | I | Obstetrics/Gynecology | IN | 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 46016)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OBSTETRICS/GYNECOLOGY | IN | 51798 | Ultrasound measurement of bladder capacity after voiding | 17 | 15 |
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