BLAISE W BAXTER (MD) – Vascular & Interventional Radiology Physician, NPI 1487681342
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
33 INTERVENTIONAL RADIOLOGY in RI
Provider Addresses for BLAISE W BAXTER (MD)
593 Eddy St
George Bldg 2nd FL
Providence, RI 029034923
Phone: (401) 606-2645
Fax: (401) 606-4386
Type: Location
1100 VAN NESS AVE
SAN FRANCISCO, CA 941096978
Phone: (415) 600-7887
Fax: (415) 369-1395
Type: Location
Erlanger Health System, 975, East 3rd Street, Chattanooga, Hamilton County, Tennessee, 37403, United States
BOX 376
CHATTANOOGA, TN 374032147
Phone: (423) 778-7234
Fax: (423) 778-7245
Type: Mailing
325 DISTEL CIR
LOS ALTOS, CA 940221408
Phone: (415) 600-7887
Fax: (415) 369-1395
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 119 Open Payments records for all available years, with a total value of $138,256.
Total Amount is formed as General ($138,256) + Research ($0) + Ownership ($0) = $138,256.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($71,785).
Total Amount
$138,256
General + Research + Ownership
Payments
119
Total payment records
General Amount
$138,256
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
2
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $71,785 |
| Penumbra, Inc. | $49,928 |
| Medtronic, Inc. | $9,658 |
| Stryker Corporation | $4,370 |
| Imperative Care, Inc | $1,176 |
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: 2023-07-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20031218000926 | I | Diagnostic Radiology | TN | TBD |
| I20190904001611 | I | Interventional Radiology | PA | TBD |
| I20191230001833 | I | Diagnostic Radiology | SD | TBD |
| I20201104000418 | I | Interventional Radiology | FL | TBD |
| I20211018001207 | I | Diagnostic Radiology | CA | TBD |
| I20230713000882 | I | Interventional Radiology | RI | 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 |
|---|---|---|---|---|
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 53 | 52 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 16 | 16 | $0 |
| 32408 | Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin | 11 | 11 | $0 |
Insurance plans in this area (ZIP 02903)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CA | |
| A L L E R G Y/ I M M U N O L O G Y | CA | |
| - | CA | |
| Hospitalist, Obstetrics/Gynecology | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| A N E S T H E S I O L O G Y | CA |
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