DR. BLAKE L ANDERSON (MD PHD) – Otolaryngology Physician, NPI 1962499574
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
320 OTOLARYNGOLOGY in MO
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Provider Addresses for DR. BLAKE L ANDERSON (MD PHD)
5301, Faraon Street, Saint Joseph, Buchanan County, Missouri, 64506, United States
STE 160
SAINT JOSEPH, MO 645063512
Phone: (816) 671-4840
Fax: (816) 671-4890
Type: Location
1145 S UTICA AVE STE 110
TULSA, OK 741044013
Phone:
Type: Mailing
9001 S 101ST EAST AVE STE 280
TULSA, OK 741335711
Phone: (918) 459-8824
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $844.
Total Amount is formed as General ($844) + Research ($0) + Ownership ($0) = $844.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: GENZYME CORPORATION ($584).
Total Amount
$844
General + Research + Ownership
Payments
30
Total payment records
General Amount
$844
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $584 |
| Regeneron Healthcare Solutions, Inc. | $100 |
| GlaxoSmithKline, LLC. | $36 |
| AERIN MEDICAL INC. | $30 |
| PolyNovo North America LLC | $26 |
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: 2018-09-26
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 |
|---|---|---|---|---|
| I20180926001032 | I | Otolaryngology | OK | 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 | 189 | 130 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 114 | 114 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 61 | 52 | $0 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 57 | 40 | $0 |
| 69210 | Removal of impacted ear wax | 40 | 27 | $0 |
Insurance plans in this area (ZIP 64506)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | MO | 92567 | Eardrum testing using ear probe | 61 | 56 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| - | MT | |
| Family Practice | OK | |
| - | OK | |
| Physician Assistant | OK | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OK | |
| U R O L O G Y | OK | |
| Orthopedic Surgery | OK | |
| Physician Assistant | OK | |
| Family Practice | OK |
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