BRAD A BLAKER (DO) – Emergency Medicine Physician, NPI 1790769545
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,266 EMERGENCY MEDICINE in IN
Provider Addresses for BRAD A BLAKER (DO)
1331 State St
La Porte, IN 463503112
Phone: (219) 326-1234
Type: Location
85 E US Highway 6
Valparaiso, IN 463838947
Phone: (219) 983-8300
Type: Location
McLaren Oakland, 50, North Perry Street, Pontiac, Oakland County, Michigan, 48342, United States
PONTIAC, MI 483422217
Phone: (248) 338-5327
Fax: (248) 338-5129
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: 2025-05-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
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 |
|---|---|---|---|---|
| I20040304001196 | I | Emergency Medicine | MI | TBD |
| I20210120001855 | I | Emergency Medicine | IN | TBD |
| I20220803003746 | I | Emergency Medicine | SC | TBD |
| I20220803004092 | I | Emergency Medicine | TN | TBD |
| I20220823001952 | I | Emergency Medicine | TX | TBD |
| I20220919000894 | I | Emergency Medicine | OH | TBD |
| I20250307002506 | I | Emergency Medicine | AL | TBD |
| I20250522000535 | I | Emergency Medicine | MO | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 255 | 251 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 173 | 166 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 123 | 121 | $0 |
| 99291 | Critical care, first 30-74 minutes | 90 | 87 | $0 |
Insurance plans in this area (ZIP 46350)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Emergency Medicine | IN | |
| Family Practice, Emergency Medicine | AL | |
| A N E S T H E S I O L O G Y | ND | |
| Internal Medicine, Emergency Medicine | AL | |
| Family Practice | KY | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Emergency Medicine, Infectious Disease | AL | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| A N E S T H E S I O L O G Y | TX | |
| Family Practice, Emergency Medicine | FL |
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