DR. ROBERT DALE BLEZA (MD) – Surgery Physician, NPI 1891893731
Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. ROBERT DALE BLEZA (MD)
PO BOX 728
SCHERERVILLE, IN 463750728
Phone: (219) 663-8110
Fax: (219) 663-8115
Type: Mailing
Corner of Route N12 and N7
Fort Defiance, AZ 865040649
Phone: (928) 729-8000
Type: Location
115th E 113th AVE
Crown Point, IN 463071097
Phone: (219) 663-8110
Fax: (219) 663-8115
Type: Location
303, Main Street, West Wind Estates, Bluffton, Otter Tail County, Minnesota, 56518, United States
BLUFFTON, IN 467142503
Phone: (260) 353-2021
Fax: (260) 479-2990
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $23.
Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.
Last reported payment date: 2023-09-11 • Largest payer in this snapshot: Smith+Nephew, Inc. ($23).
Total Amount
$23
General + Research + Ownership
Payments
1
Total payment records
General Amount
$23
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $23 |
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: 2025-02-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20040430000272 | I | General Surgery | IN | TBD |
| I20241204002503 | I | General Surgery | ND | TBD |
| I20250213000047 | I | General Surgery | TX | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 44 | 44 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 21 | 20 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19 | 14 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 19 | 18 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 15 | 15 | $0 |
Insurance plans in this area (ZIP 46375)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IN | |
| Pulmonary Disease | IN | |
| - | IN | |
| O P H T H A L M O L O G Y | IN | |
| - | IN | |
| R H E U M A T O L O G Y | IN | |
| - | IN | |
| Cardiovascular Disease (Cardiology) | FL | |
| - | IN |
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