DR. ROGER ALAN BLAKE (M.D.) – Surgical Critical Care Physician, NPI 1023049335
Surgical Critical Care Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
246 GENERAL SURGERY in MS
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Provider Addresses for DR. ROGER ALAN BLAKE (M.D.)
907, East Sunflower Road, Cleveland, Bolivar County, Mississippi, 38732, United States
101
CLEVELAND, MS 387322830
Phone: (662) 846-8880
Fax: (662) 846-8886
Type: Location
999 N Curtis Rd Ste 415
Boise, ID 837061334
Phone: (208) 302-2600
Fax: (208) 302-2625
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 $24.
Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.
Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($24).
Total Amount
$24
General + Research + Ownership
Payments
1
Total payment records
General Amount
$24
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Supernus Pharmaceuticals, Inc. | $24 |
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: 2024-11-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20050824000718 | I | General Surgery | MS | TBD |
| I20221122001324 | I | Anesthesiology | TN | TBD |
| I20231103003208 | I | General Surgery | OK | TBD |
| I20240801001698 | I | General Surgery | IL | TBD |
| I20241112000962 | I | Critical Care (Intensivists) | AR | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 14 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 19 | 16 | $0 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 11 | 11 | $0 |
Insurance plans in this area (ZIP 38732)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | MS | 45378 | Diagnostic examination of large bowel using an endoscope | 72 | 70 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MS | |
| Diagnostic Radiology | MS | |
| Diagnostic Radiology | WI | |
| Nurse Practitioner | MS | |
| U R O L O G Y | NC | |
| Gastroenterology, Internal Medicine | MS | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS | |
| Orthopedic Surgery | SD |
Reviews
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