BLAKE PETERSON (MD) – Orthopaedic Surgery Physician, NPI 1023379849
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
843 ORTHOPEDIC SURGERY in VA
Provider Addresses for BLAKE PETERSON (MD)
2501 Parkers Ln # 200
Alexandria, VA 223063209
Phone: (703) 892-6500
Type: Location
2445 ARMY NAVY DR
ARLINGTON, VA 222062905
Phone: (703) 892-6500
Type: Location
1100 VIRGINIA AVE
COLUMBIA, MO 652120001
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 147 Open Payments records for all available years, with a total value of $85,898.
Total Amount is formed as General ($85,898) + Research ($0) + Ownership ($0) = $85,898.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($85,216).
Total Amount
$85,898
General + Research + Ownership
Payments
147
Total payment records
General Amount
$85,898
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Zimmer Biomet Holdings, Inc. | $85,216 |
| Stryker Corporation | $319 |
| Smith+Nephew, Inc. | $124 |
| MIMEDX Group, Inc. | $74 |
| Radius Health, Inc. | $23 |
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: 2018-06-07
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 |
|---|---|---|---|---|
| I20180607002534 | I | Orthopedic Surgery | MO | 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 |
|---|---|---|---|---|
| 73562 | X-ray of knee, 3 views | 594 | 359 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 493 | 427 | $0 |
| 73502 | X-ray of hip, 2-3 views | 313 | 212 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 300 | 290 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 210 | 178 | $0 |
Insurance plans in this area (ZIP 22306)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MO | |
| Physician Assistant | MO | |
| Orthopedic Surgery | MO | |
| Physician Assistant | GA | |
| Orthopedic Surgery | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Physical Therapist In Private Practice | MO | |
| Orthopedic Surgery | MO | |
| Orthopedic Surgery | MO |
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