BLAKE DIXON (DO) – Family Medicine Physician, NPI 1033772199

BLAKE DIXON (DO) is a healthcare provider. based in Pikeville, Kentucky. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. R5030 (KY). The NPI Number for BLAKE DIXON (DO) is 1033772199

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
BLAKE DIXON (DO)
NPI
1033772199
Phone
Not provided
Address
111 JUSTICE WAY APT 409
Enumeration Date
15 April 2019
Last Update Date
8 June 2022

Doctor Profile

Medical School Name
UNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
Secondary Phone
6064512600
Graduation Year
2019 (7 years ago)
PAC ID
6800274325
Group Practice PAC ID
7214909456
Professional Enrollment ID
I20220610002396
Address ID
KY425031873SO350XXWAYX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,717 FAMILY PRACTICE in KY

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Provider Addresses for BLAKE DIXON (DO)

  • 111 JUSTICE WAY APT 409

    PIKEVILLE, KY 415018314

    Phone:

    Type: Mailing

  • Langdon Street, Somerset, Pulaski County, Kentucky, 42503, United States

    SOMERSET, KY 425032750

    Phone: (606) 451-5092

    Type: Location

  • 350 HOSPITAL WAY STE 100

    SOMERSET, KY 425031872

    Phone: (606) 451-2600

    Fax: (606) 451-2651

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $122.

Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.

Last reported payment date: 2024-12-01 • Largest payer in this snapshot: Xeris Pharmaceuticals, Inc. ($43).

Total Amount

$122

General + Research + Ownership

Payments

6

Total payment records

General Amount

$122

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-06-10

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
I20220610002396IFamily PracticeKYTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8629$0
99239Hospital discharge day management, more than 30 minutes2221$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 41501)

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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: 7214909456View full group profile
NameSpecialtyState
Emergency Medicine, Internal MedicineKY
-FL
Internal MedicineKY
-KY
Family PracticeKY
Family PracticeKY
Infectious DiseaseKY
Nurse PractitionerKY
-KY
Family PracticeKY

Reviews

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Frequently asked questions

Where can patients find BLAKE DIXON (DO)'s NPI?
You can confirm BLAKE DIXON (DO) with NPI 1033772199; it appears in the national provider directory.
Is BLAKE DIXON (DO) active in the national directory?
BLAKE DIXON (DO)'s public NPI profile is in an active state.
Can you summarize BLAKE DIXON (DO)'s specialty in plain language?
Clinically, the directory lists BLAKE DIXON (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for BLAKE DIXON (DO)?
The page summarizes Pikeville, Kentucky for BLAKE DIXON (DO); expand the address list for detail.
How can I contact BLAKE DIXON (DO)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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