AMBER DAWN BLAIR (MD) – Family Medicine Physician, NPI 1710935077
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,432 FAMILY PRACTICE in OH
Provider Addresses for AMBER DAWN BLAIR (MD)
6693 N CHESTNUT ST STE 125A
RAVENNA, OH 442663900
Phone: (330) 296-2879
Fax: (330) 296-4656
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 26 Open Payments records for all available years, with a total value of $4,186.
Total Amount is formed as General ($4,186) + Research ($0) + Ownership ($0) = $4,186.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($3,161).
Total Amount
$4,186
General + Research + Ownership
Payments
26
Total payment records
General Amount
$4,186
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $3,161 |
| Arcutis Biotherapeutics, Inc. | $710 |
| Galderma Laboratories, L.P. | $164 |
| Janssen Biotech, Inc. | $151 |
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: 2006-05-19
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 |
|---|---|---|---|---|
| I20060519000030 | I | Family Practice | OH | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 933 | 211 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 497 | 445 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 401 | 325 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 149 | 137 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 140 | 101 | $0 |
Insurance plans in this area (ZIP 44266)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | OH | 17003 | Destruction of 2-14 skin growths | 1000 | 210 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | OH |
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