DR. BRIAN J BLAKE (M.D.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1124278668

DR. BRIAN J BLAKE (M.D.) is a healthcare provider. based in Canton, Ohio. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. A106986 (CA). The NPI Number for DR. BRIAN J BLAKE (M.D.) is 1124278668

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN J BLAKE (M.D.)
NPI
1124278668
Phone
(330) 492-9200
Address
4760 BELPAR ST NW
Enumeration Date
20 September 2008
Last Update Date
18 March 2011

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
3304929200
Graduation Year
2004 (22 years ago)
PAC ID
2567513542
Group Practice PAC ID
9032197868
Professional Enrollment ID
I20110328000579
Address ID
OH447183603CA4760XNWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:17State licenses:2Digital endpointsOther names

1,346 ORTHOPEDIC SURGERY in OH

Provider Addresses for DR. BRIAN J BLAKE (M.D.)

  • 4760 BELPAR ST NW

    CANTON, OH 447183603

    Phone: (330) 492-9200

    Fax: (330) 492-5454

    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 3 Open Payments records for all available years, with a total value of $78.

Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Theragen, Inc. ($54).

Total Amount

$78

General + Research + Ownership

Payments

3

Total payment records

General Amount

$78

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

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: 2011-03-28

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110328000579IOrthopedic SurgeryOHTBD

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
20610Aspiration and/or injection of fluid from large joint347147$0
99214Established patient office or other outpatient visit, 30-39 minutes267163$0
J1030Injection, methylprednisolone acetate, 40 mg225127$0
J7321Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose20233$0
99213Established patient office or other outpatient visit, 20-29 minutes11294$0
View full utilization report →

Insurance plans in this area (ZIP 44718)

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Provider's Procedures

DR. BRIAN J BLAKE (M.D.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYOH20610Aspiration and/or injection of large joint or joint capsule13698

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: 9032197868View full group profile
NameSpecialtyState
Orthopedic SurgeryOH
Occupational Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeAL
Orthopedic SurgeryOH
Physician AssistantOH
Physician AssistantOH
Orthopedic SurgeryOH
Physical Therapist In Private PracticeOH
Orthopedic SurgeryOH

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Frequently asked questions

What federal number belongs to DR. BRIAN J BLAKE (M.D.)?
The federal identifier for DR. BRIAN J BLAKE (M.D.) is NPI 1124278668.
Is DR. BRIAN J BLAKE (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. BRIAN J BLAKE (M.D.) list a primary specialty?
If you are matching referrals, note Sports Medicine (Orthopaedic Surgery) Physician for DR. BRIAN J BLAKE (M.D.). Clinical services aligned with this taxonomy classification.
Where is DR. BRIAN J BLAKE (M.D.)'s primary listing?
We display Canton, Ohio because that is what the record indicates for DR. BRIAN J BLAKE (M.D.).
What if Canton, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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