DR. BLAKE ANDERSON (M.D.) – Family Medicine Physician, NPI 1093798134
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,330 FAMILY PRACTICE in MO
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Provider Addresses for DR. BLAKE ANDERSON (M.D.)
1344, Red Oak Plantation Drive, Arbor Valley, Ballwin, Saint Louis County, Missouri, 63021, United States
BALLWIN, MO 630217346
Phone: (314) 591-3417
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: 2009-07-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090723000107 | I | Family Practice | MO | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 151 | 136 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 143 | 136 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 134 | 118 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 30 | 30 | $0 |
| 99291 | Critical care, first 30-74 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 63021)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine, Family Practice | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| - | MO | |
| Family Practice | MO | |
| Internal Medicine | MO | |
| Emergency Medicine | GA | |
| - | MO | |
| - | MO | |
| Family Practice | MO | |
| Nurse Practitioner | KS |
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