DR. BLAKE JAY BROOKS (M.D.) – Nephrology Physician, NPI 1255337390
Nephrology Physician
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Profile Insights
NPPES metrics only — not quality of care.
319 NEPHROLOGY in MO
Provider Addresses for DR. BLAKE JAY BROOKS (M.D.)
PO BOX 104240
JEFFERSON CITY, MO 651104240
Phone:
Type: Mailing
1205 W BROADWAY
COLUMBIA, MO 652032125
Phone: (573) 499-0642
Fax: (573) 449-1787
Type: Mailing
West Stadium Boulevard, Jefferson City, Cole County, Missouri, 65109, United States
JEFFERSON CITY, MO 651096023
Phone: (573) 635-5264
Fax: (573) 761-4351
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $186.
Total Amount is formed as General ($186) + Research ($0) + Ownership ($0) = $186.
Last reported payment date: 2024-07-10 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($128).
Total Amount
$186
General + Research + Ownership
Payments
5
Total payment records
General Amount
$186
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $128 |
| Novo Nordisk Inc | $23 |
| Dexcom, Inc. | $22 |
| Otsuka America Pharmaceutical, Inc. | $13 |
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: 2009-03-17
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 |
|---|---|---|---|---|
| I20090317000640 | I | Nephrology | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 466 | 280 | $0 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 403 | 64 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 324 | 129 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 148 | 125 | $0 |
| 90962 | Dialysis services, 1 physician visit per month (20 years or older) | 139 | 59 | $0 |
Insurance plans in this area (ZIP 65110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E P H R O L O G Y | MO | |
| Nephrology, Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| N E P H R O L O G Y | MO | |
| - | TX |
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