DR. GWEN EILEEN FAGALA-BLAKE (M.D.) – Psychiatry Physician, NPI 1801856158
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,132 PSYCHIATRY in TX
Provider Addresses for DR. GWEN EILEEN FAGALA-BLAKE (M.D.)
6010 W Amarillo Blvd
Amarillo, TX 791061990
Phone: (806) 355-9703
Fax: (806) 468-1523
Type: Location
PO BOX 650859, DEPT. 710
DALLAS, TX 752650859
Phone: (409) 772-2222
Type: Mailing
400 HARBORSIDE DR STE 118-119
GALVESTON, TX 775551990
Phone: (409) 772-0770
Type: Location
Thomas E. Creek VA Medical Center, 6010, West Amarillo Boulevard, Amarillo, Potter County, Texas, 79106, United States
AMARILLO, TX 791061990
Phone: (806) 355-9703
Fax: (806) 468-1523
Type: Location
3225, Crockett Street, Wolflin Terrace, Amarillo, Randall County, Texas, 79109, United States
AMARILLO, TX 791093427
Phone: (806) 358-9520
Type: Mailing
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: 2021-09-28
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 |
|---|---|---|---|---|
| I20210928001431 | I | Psychiatry | TX | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 79106)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | TX | |
| - | NY | |
| Sleep Medicine, Critical Care (Intensivists) | TX | |
| Surgical Oncology | NY | |
| General Surgery | TN | |
| General Surgery | GA | |
| U R O L O G Y | NY | |
| Nurse Practitioner | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX |
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