PETER JONATHAN BLAKE (PA) – Physician Assistant, NPI 1760029862
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,131 PHYSICIAN ASSISTANT in MA
Provider Addresses for PETER JONATHAN BLAKE (PA)
577 WESTERN AVE
WESTFIELD, MA 010852580
Phone: (978) 549-5484
Type: Mailing
280 CHESTNUT STREET
2ND FLOOR
SPRINGFIELD, MA 011991001
Phone: (413) 794-5700
Type: Mailing
95 SARGENT STREET
BELCHERTOWN, MA 010079881
Phone: (413) 323-7212
Fax: (413) 967-2524
Type: Location
PO BOX 415348
BOSTON, MA 022415348
Phone: (800) 225-8885
Fax: (508) 334-1977
Type: Mailing
151 WORCESTER RD
BARRE, MA 010059002
Phone: (783) 556-3219
Fax: (978) 355-6549
Type: Location
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: 2021-11-22
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211122001857 | I | Physician Assistant | MA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 66 | 60 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 63 | 57 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 45 | 39 | $0 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 19 | 18 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 01085)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| - | MA | |
| Family Practice | MA | |
| Physician Assistant | MA | |
| A N E S T H E S I O L O G Y | NY | |
| Pulmonary Disease, Critical Care (Intensivists), Allergy/Immunology | MA | |
| - | MA | |
| - | MA | |
| Internal Medicine | MA | |
| Nurse Practitioner | MA |
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