JOHN EVERETT III BLAKE (MD) – Anesthesiology Physician, NPI 1629290689

JOHN EVERETT III BLAKE (MD) is a healthcare provider. based in Chattanooga, Tennessee. specializing in PAIN MANAGEMENT, INTERVENTIONAL PAIN MANAGEMENT. They hold the professional credentials MD. They hold a License No. MD44681 (TN). The NPI Number for JOHN EVERETT III BLAKE (MD) is 1629290689

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
JOHN EVERETT III BLAKE (MD)
NPI
1629290689
Phone
(423) 698-0850
Address
281 N LYERLY ST STE 200
Enumeration Date
2 May 2007
Last Update Date
14 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4236980850
Graduation Year
2004 (22 years ago)
PAC ID
9739230921
Group Practice PAC ID
1355253659
Professional Enrollment ID
I20090629000492
Address ID
TN374042728CH281XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness85
Years active:19State licenses:3Digital endpointsOther names

153 PAIN MANAGEMENT in TN

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Provider Addresses for JOHN EVERETT III BLAKE (MD)

  • 281 N LYERLY ST STE 200

    CHATTANOOGA, TN 374042749

    Phone: (423) 698-0850

    Fax: (833) 450-6211

    Type: Mailing

  • 281, North Lyerly Street, Glenwood, Ridgeside, Chattanooga, Hamilton County, East Tennessee, Tennessee, 37404, United States

    SUITE 200

    CHATTANOOGA, TN 37404

    Phone: (423) 698-0850

    Fax: (423) 698-0511

    Type: Mailing

  • 4957 Swinyar Dr Ste 101

    Ooltewah, TN 373632205

    Phone: (423) 362-7777

    Type: Location

  • 862 Callen Ln NW Ste 110

    Cleveland, TN 373127020

    Phone: (423) 331-5025

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 372 Open Payments records for all available years, with a total value of $11,734.

Total Amount is formed as General ($11,734) + Research ($0) + Ownership ($0) = $11,734.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Boston Scientific Corporation ($3,014).

Total Amount

$11,734

General + Research + Ownership

Payments

372

Total payment records

General Amount

$11,734

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

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: 2009-06-29

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
I20090629000492IInterventional Pain ManagementTNTBD

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
G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms1,569671$0
99214Established patient office or other outpatient visit, 30-39 minutes1,321524$0
80307Testing for presence of drug, by chemistry analyzers974528$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg920108$0
J1100Injection, dexamethasone sodium phosphate, 1 mg40044$0
View full utilization report →

Insurance plans in this area (ZIP 37404)

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Provider's Procedures

JOHN EVERETT III BLAKE (MD) performs procedures in PAIN MANAGEMENT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL PAIN MANAGEMENTTN20610Aspiration and/or injection of large joint or joint capsule13165
INTERVENTIONAL PAIN MANAGEMENTTN62311Injections of substances into lower or sacral spine2321
INTERVENTIONAL PAIN MANAGEMENTTN64493Injections of lower or sacral spine facet joint using imaging guidance6938

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: 1355253659View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTN
Physician AssistantTN
Anesthesiology, Pain Management, AnesthesiologyWA
Nurse PractitionerTN
Nurse PractitionerTN
Pain ManagementTN
-TN
A N E S T H E S I O L O G YTN
Interventional Pain Management, AnesthesiologyTN
Nurse PractitionerTN

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Frequently asked questions

What NPI should I save for JOHN EVERETT III BLAKE (MD)?
Save NPI 1629290689 if you need a stable reference for JOHN EVERETT III BLAKE (MD).
Is JOHN EVERETT III BLAKE (MD)'s NPI currently valid?
The extract we use shows JOHN EVERETT III BLAKE (MD) as active.
Does JOHN EVERETT III BLAKE (MD) list a primary specialty?
If you are matching referrals, note Anesthesiology Physician for JOHN EVERETT III BLAKE (MD). Clinical services aligned with this taxonomy classification.
Where is JOHN EVERETT III BLAKE (MD)'s primary listing?
We display Chattanooga, Tennessee because that is what the record indicates for JOHN EVERETT III BLAKE (MD).
How can I contact JOHN EVERETT III BLAKE (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.