BLAKE GORNOWICZ (MD) – Internal Medicine Physician, NPI 1548363732

BLAKE GORNOWICZ (MD) is a healthcare provider. based in West linn, Oregon. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 2004018445 (MO). The NPI Number for BLAKE GORNOWICZ (MD) is 1548363732

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
BLAKE GORNOWICZ (MD)
NPI
1548363732
Phone
(573) 424-6436
Address
3448 CHIPPEWA CT
Enumeration Date
6 September 2006
Last Update Date
11 December 2013

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
5419638421
Graduation Year
2004 (22 years ago)
PAC ID
4981740776
Group Practice PAC ID
0547170789
Professional Enrollment ID
I20091008000269
Address ID
OR978501387LA900XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,474 INTERNAL MEDICINE in OR

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Provider Addresses for BLAKE GORNOWICZ (MD)

  • 3448, Chippewa Court, Robinwood, West Linn, Clackamas County, Oregon, 97068, United States

    WEST LINN, OR 97068

    Phone: (573) 424-6436

    Type: Mailing

  • Adventist Health Columbia Gorge, 1700, East 19th Street, The Dalles, Wasco County, Oregon, 97058, United States

    THE DALLES, OR 97058

    Phone: (541) 296-1111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-10-08

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
I20091008000269IInternal MedicineORTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes272108$0
99238Hospital discharge day management, 30 minutes or less9591$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5854$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4926$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4039$0
View full utilization report →

Insurance plans in this area (ZIP 97068)

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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: 0547170789View full group profile
NameSpecialtyState
Physician AssistantOR
Cardiovascular Disease (Cardiology)OR
Internal MedicineOR
Family PracticeOR
Diagnostic RadiologyUT
-OR
-OR
Clinical Social WorkerOR
Physician AssistantCO
O B S T E T R I C S/ G Y N E C O L O G YOR

Reviews

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Frequently asked questions

What federal number belongs to BLAKE GORNOWICZ (MD)?
The federal identifier for BLAKE GORNOWICZ (MD) is NPI 1548363732.
Is BLAKE GORNOWICZ (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize BLAKE GORNOWICZ (MD)'s specialty in plain language?
Clinically, the directory lists BLAKE GORNOWICZ (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for BLAKE GORNOWICZ (MD)?
We surface West Linn, Oregon for BLAKE GORNOWICZ (MD) based on available NPPES addresses.
What if West Linn, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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