MICHAEL SCOTT BLAKE (MD, MPH) – Emergency Medicine Physician, NPI 1225205230

MICHAEL SCOTT BLAKE (MD, MPH) is a healthcare provider. based in Lewiston, Maine. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD, MPH. They hold a License No. 018419 (ME). The NPI Number for MICHAEL SCOTT BLAKE (MD, MPH) is 1225205230

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL SCOTT BLAKE (MD, MPH)
NPI
1225205230
Phone
(207) 795-2641
Address
300 MAIN ST
Enumeration Date
9 May 2008
Last Update Date
15 November 2010

Doctor Profile

Medical School Name
UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Secondary Phone
2077955646
Graduation Year
2006 (20 years ago)
PAC ID
6204029036
Group Practice PAC ID
3375774227
Professional Enrollment ID
I20101025000697
Address ID
ME042407027LE300XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

403 EMERGENCY MEDICINE in ME

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Provider Addresses for MICHAEL SCOTT BLAKE (MD, MPH)

  • Central Maine Medical Center, 300, Main Street, Lewiston, Androscoggin County, Maine, 04240, United States

    LEWISTON, ME 042407027

    Phone: (207) 795-2641

    Fax: (207) 753-7201

    Mailing address matches the actual address.

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: 2010-10-25

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
I20101025000697IEmergency MedicineMETBD

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
99284Emergency department visit with moderate level of medical decision making9894$0
99283Emergency department visit with low level of medical decision making5249$0
99285Emergency department visit with high level of medical decision making4340$0
99291Critical care, first 30-74 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 04240)

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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: 3375774227View full group profile
NameSpecialtyState
Emergency MedicineCT
Physician AssistantNH
Emergency MedicineNH
-MA
Nurse PractitionerCT
Emergency MedicineMD
Emergency MedicineNH
Emergency MedicineMA
Emergency MedicineCT
Emergency MedicineME

Reviews

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Frequently asked questions

What unique ID ties claims to MICHAEL SCOTT BLAKE (MD, MPH)?
NPI 1225205230 is assigned to MICHAEL SCOTT BLAKE (MD, MPH) under the national enumeration system.
Is MICHAEL SCOTT BLAKE (MD, MPH) currently active in the NPI registry?
CMS-published data lists MICHAEL SCOTT BLAKE (MD, MPH) as an active registrant.
What field does MICHAEL SCOTT BLAKE (MD, MPH) work in?
You can think of MICHAEL SCOTT BLAKE (MD, MPH) as practicing within Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for MICHAEL SCOTT BLAKE (MD, MPH)?
We surface Lewiston, Maine for MICHAEL SCOTT BLAKE (MD, MPH) based on available NPPES addresses.
Is MICHAEL SCOTT BLAKE (MD, MPH) a real provider?
This page reflects official NPPES data for NPI 1225205230. Always confirm identity and privileges with the practice and licensing boards.

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