STEVEN CHARLES BLAKELEY (PA-C) – Physician Assistant, NPI 1528678349

STEVEN CHARLES BLAKELEY (PA-C) is a healthcare provider. based in San antonio, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for STEVEN CHARLES BLAKELEY (PA-C) is 1528678349

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
STEVEN CHARLES BLAKELEY (PA-C)
NPI
1528678349
Phone
(210) 494-0504
Address
109 GALLERY CIR STE 135
Enumeration Date
6 August 2020
Last Update Date
25 July 2023

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
2104940504
Graduation Year
2022 (4 years ago)
PAC ID
3779952999
Group Practice PAC ID
5294868535
Professional Enrollment ID
I20221210000552
Address ID
TX782583328SA109XXCIRX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:5State licenses:0Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for STEVEN CHARLES BLAKELEY (PA-C)

  • 109 GALLERY CIR STE 135

    SAN ANTONIO, TX 782583328

    Phone: (210) 494-0504

    Type: Mailing

  • 3700 N A ST APT 8307

    MIDLAND, TX 797055448

    Phone: (806) 317-9787

    Type: Mailing

  • TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER

    3600 N. GARFIELD

    MIDLAND, TX 79705

    Phone: (806) 317-9787

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 128 Open Payments records for all available years, with a total value of $3,245.

Total Amount is formed as General ($3,245) + Research ($0) + Ownership ($0) = $3,245.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($861).

Total Amount

$3,245

General + Research + Ownership

Payments

128

Total payment records

General Amount

$3,245

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2022-12-10

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
I20221210000552IPhysician AssistantTXTBD

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
17003Destruction of precancer skin growth, 2-14 growths6814$0
11102Biopsy of related skin growth, first growth3030$0
99213Established patient office or other outpatient visit, 20-29 minutes2624$0
99204New patient office or other outpatient visit, 45-59 minutes2323$0
17000Destruction of precancer skin growth, 1 growth1918$0
View full utilization report →

Insurance plans in this area (ZIP 78258)

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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: 5294868535View full group profile
NameSpecialtyState
D E R M A T O L O G YTX

Reviews

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Frequently asked questions

How do I look up STEVEN CHARLES BLAKELEY (PA-C) by NPI?
Use NPI 1528678349 when you need to reference STEVEN CHARLES BLAKELEY (PA-C) in forms, claims, or directories.
Is STEVEN CHARLES BLAKELEY (PA-C)'s NPI currently valid?
The extract we use shows STEVEN CHARLES BLAKELEY (PA-C) as active.
What kind of provider is STEVEN CHARLES BLAKELEY (PA-C)?
The page reflects Physician Assistant for STEVEN CHARLES BLAKELEY (PA-C). Clinical services aligned with this taxonomy classification.
Does STEVEN CHARLES BLAKELEY (PA-C) practice in Texas?
You will see San Antonio, Texas on file for STEVEN CHARLES BLAKELEY (PA-C) alongside any extra practice locations.
Is STEVEN CHARLES BLAKELEY (PA-C) a real provider?
This page reflects official NPPES data for NPI 1528678349. Always confirm identity and privileges with the practice and licensing boards.

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