DR. JOHNATHON BLAKE (M.D., M.H.S.A.) – Physical Medicine & Rehabilitation Physician, NPI 1487040002
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
84 PHYSICAL MEDICINE AND REHABILITATION in KS
Provider Addresses for DR. JOHNATHON BLAKE (M.D., M.H.S.A.)
1201 W 12th Ave
Emporia, KS 668012504
Phone: (620) 343-6800
Fax: (620) 341-7821
Type: Location
2301 HOLMES ST
KANSAS CITY, MO 641082640
Phone: (816) 404-4862
Type: Location
2340 E MEYER BLVD STE 346
KANSAS CITY, MO 641321129
Phone: (816) 444-1777
Type: Mailing
6265 Rock Chalk Dr
Lawrence, KS 660495232
Phone: (816) 444-1777
Fax: (816) 333-3277
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $50.
Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.
Last reported payment date: 2024-03-19 • Largest payer in this snapshot: ABBVIE INC. ($50).
Total Amount
$50
General + Research + Ownership
Payments
2
Total payment records
General Amount
$50
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $50 |
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: 2019-09-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190919003047 | I | Physical Medicine And Rehabilitation | MO | TBD |
| I20190919003132 | I | Physical Medicine And Rehabilitation | KS | 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 |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 8,800 | 33 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 116 | 81 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 94 | 94 | $0 |
| 95874 | Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle | 67 | 33 | $0 |
| 95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 58 | 46 | $0 |
Insurance plans in this area (ZIP 66801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KS | |
| Nurse Practitioner | MO | |
| Physical Medicine And Rehabilitation | KS | |
| Nurse Practitioner | KS | |
| Physical Medicine And Rehabilitation | KS |
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