BLAKE RICHARD BEAZER (MD) – Family Medicine Physician, NPI 1073510012
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,136 FAMILY PRACTICE in UT
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Provider Addresses for BLAKE RICHARD BEAZER (MD)
2356, North 400 East, Tooele, Tooele County, Utah, 84074, United States
STE 201
TOOELE, UT 84074
Phone: (435) 882-2350
Fax: (435) 882-2039
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 109 Open Payments records for all available years, with a total value of $1,893.
Total Amount is formed as General ($1,893) + Research ($0) + Ownership ($0) = $1,893.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($300).
Total Amount
$1,893
General + Research + Ownership
Payments
109
Total payment records
General Amount
$1,893
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
| Company | Amount |
|---|---|
| ABBVIE INC. | $300 |
| Amgen Inc. | $262 |
| Lilly USA, LLC | $146 |
| AstraZeneca Pharmaceuticals LP | $136 |
| Bayer Healthcare Pharmaceuticals Inc. | $131 |
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: 2004-12-17
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 |
|---|---|---|---|---|
| I20041217000245 | I | Family Practice | UT | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 189 | 106 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 88 | 60 | $0 |
| 83036 | Hemoglobin a1c level | 44 | 28 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 35 | 29 | $0 |
| 81003 | Automated urinalysis test | 15 | 14 | $0 |
Insurance plans in this area (ZIP 84074)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT |
Reviews
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