BLAKE THOMAS BEASLEY (PA-C) – Physician Assistant, NPI 1225793359
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,689 PHYSICIAN ASSISTANT in PA
Provider Addresses for BLAKE THOMAS BEASLEY (PA-C)
5555 WISSAHICKON AVE APT 215H
PHILADELPHIA, PA 191444535
Phone: (512) 820-2731
Type: Mailing
531 MAPLE AVE
WEST CHESTER, PA 193804416
Phone: (610) 692-4382
Fax: (610) 430-6820
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $647.
Total Amount is formed as General ($647) + Research ($0) + Ownership ($0) = $647.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: ZOLL Respicardia, Inc. ($148).
Total Amount
$647
General + Research + Ownership
Payments
22
Total payment records
General Amount
$647
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-10-03
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 |
|---|---|---|---|---|
| I20241003000135 | I | Physician Assistant | PA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19144)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| Nurse Practitioner | NH | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | MD | |
| Hospitalist, Internal Medicine | NJ | |
| Family Practice | NM | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | ME |
Reviews
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