DR. JACOB L BLAKE (M.D.) – Pain Medicine (Anesthesiology) Physician, NPI 1154486769

DR. JACOB L BLAKE (M.D.) is a healthcare provider. based in Reno, Nevada. specializing in ANESTHESIOLOGY, PAIN MANAGEMENT. They hold the professional credentials M.D.. They hold a License No. 14407 (NV). The NPI Number for DR. JACOB L BLAKE (M.D.) is 1154486769

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACOB L BLAKE (M.D.)
NPI
1154486769
Phone
(775) 323-2080
Address
5590 KIETZKE LN
Enumeration Date
26 December 2006
Last Update Date
29 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7753232080
Graduation Year
2008 (18 years ago)
PAC ID
4385796598
Group Practice PAC ID
3870588619
Professional Enrollment ID
I20151209001596
Address ID
NV895113019RE5590XLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness75
Years active:19State licenses:3Digital endpointsOther names

555 ANESTHESIOLOGY in NV

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Provider Addresses for DR. JACOB L BLAKE (M.D.)

  • Kietzke Lane, Reno, Washoe County, Nevada, United States

    RENO, NV 895113019

    Phone: (775) 323-2080

    Fax: (775) 683-9404

    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)

CMS reports 102 Open Payments records for all available years, with a total value of $3,067.

Total Amount is formed as General ($3,067) + Research ($0) + Ownership ($0) = $3,067.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Boston Scientific Corporation ($2,193).

Total Amount

$3,067

General + Research + Ownership

Payments

102

Total payment records

General Amount

$3,067

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120921000229IPain ManagementNVTBD
I20151209001596IPain ManagementCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
A9575Injection, gadoterate meglumine, 0.1 ml3,65021$0
J1100Injection, dexamethasone sodium phosphate, 1 mg1,390107$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg798154$0
J1040Injection, methylprednisolone acetate, 80 mg171137$0
64493Injection of lower or sacral spine facet joint using imaging guidance, single level16496$0
View full utilization report →

Insurance plans in this area (ZIP 89511)

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Provider's Procedures

DR. JACOB L BLAKE (M.D.) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PAIN MANAGEMENTNV20610Aspiration and/or injection of large joint or joint capsule2723
PAIN MANAGEMENTNV64493Injections of lower or sacral spine facet joint using imaging guidance9257

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870588619View full group profile
NameSpecialtyState
Nurse PractitionerNV
N E U R O S U R G E R YNV
-NV
Physician AssistantNV
N E U R O S U R G E R YCA
Nurse PractitionerNV
Physician AssistantNV
N E U R O S U R G E R YGA
Nurse PractitionerNV
N E U R O S U R G E R YNV

Reviews

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Frequently asked questions

Where can patients find DR. JACOB L BLAKE (M.D.)'s NPI?
You can confirm DR. JACOB L BLAKE (M.D.) with NPI 1154486769; it appears in the national provider directory.
Does this profile mean DR. JACOB L BLAKE (M.D.) is currently active?
Yes — DR. JACOB L BLAKE (M.D.) appears active in the national provider directory.
What does DR. JACOB L BLAKE (M.D.) treat or focus on?
Patients typically see DR. JACOB L BLAKE (M.D.) under the specialty Pain Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. JACOB L BLAKE (M.D.)?
The snapshot lists Reno, Nevada for DR. JACOB L BLAKE (M.D.); download NPPES for the complete set.
How can I contact DR. JACOB L BLAKE (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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