MR. JOHN VAYDEN BLAKE PA
NPI 1013994953
Physician Assistant in Summersville, WV

Active since December 30, 2005PECOS EnrolledAccepts Medicare Assignment
315 FAIRVIEW HEIGHTS RD, SUMMERSVILLE, WV 26651(304) 469-2905(304) 465-5486 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 3, 2025, Dec 21, 2021 (2 updates tracked since 2021).

About Mr. John Vayden Blake Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOHN VAYDEN BLAKE PA (NPI 1013994953) is an individual physician assistant in Summersville, West Virginia, licensed in West Virginia (929) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1013994953
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JOHN VAYDEN BLAKECredential: PA
Location Address315 FAIRVIEW HEIGHTS RDSummersville, WV 26651-1086
Mailing Address497 Mall RdOak Hill, WV 25901-6216 · (304) 469-2905 · Fax (304) 465-5486
Fax(304) 465-5486
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateDecember 30, 2005
Last NPPES UpdateJanuary 3, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2025
NPI 1013994953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in WV · 929 Licensed in WV · 202
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

315 FAIRVIEW HEIGHTS RD, Summersville, WV 26651

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. John Vayden Blake Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678472396
PECOS Enrollment IDI20031231000777
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26651 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers24 claims85 services$6.40 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers12 claims20 services$1.06 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$116.94 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
315 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651
Family Medicine
315 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651
Clinic/Center (Federally Qualified Health Center (FQHC))
315 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651
Urology
315 FAIRVIEW HEIGHTS RD, SUITE 200
SUMMERSVILLE, WV 26651
Family Medicine
315 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Blake's NPI number?

The NPI number for John Blake is 1013994953. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Where is John Blake located?

John Blake practices at 315 Fairview Heights Rd, Summersville, WV 26651. The listed phone number is (304) 469-2905.

What is John Blake's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is John Blake enrolled in Medicare?

Yes. John Blake is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Blake accept?

Health plans from CareSource list John Blake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Blake was last updated on January 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.