DR. ROGER ALAN BLAKE M.D.
NPI 1023049335
Surgery - Surgical Critical Care in Cleveland, MS

Q: What is Roger Blake's NPI number?

The NPI number for Roger Blake is 1023049335. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Q: What is Roger Blake's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Q: When was this NPI record last updated?

The NPPES record for Roger Blake was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment

907 E SUNFLOWER RD, 101, CLEVELAND, MS 38732(662) 846-8880(662) 846-8886 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Roger Alan Blake M.d. NPPES

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

DR. ROGER ALAN BLAKE M.D. (NPI 1023049335) is an individual surgical critical care provider in Cleveland, Mississippi, licensed in Idaho (MC-2670) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and maintains a secondary practice location in Boise.

NPPES Registry Identity

NPI1023049335

Entity TypeIndividualMale

Primary Taxonomy2086S0102X

Provider Legal NameDR. ROGER ALAN BLAKECredential: M.D.

Location Address907 E SUNFLOWER RD, 101Cleveland, MS 38732-2830

Mailing Address907 E Sunflower Rd, 101Cleveland, MS 38732-2830 · (662) 846-8880 · Fax (662) 846-8886

Phone(662) 846-8880

Fax(662) 846-8886

Sole ProprietorYes

Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1994

Enumeration DateJuly 5, 2006

Last NPPES UpdateMarch 4, 2024

NPPES CertifiedMarch 4, 2024

✔ NPI 1023049335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians

Taxonomy Code2086S0102X

License✔ Licensed in ID · MC-2670

Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedSpecialistTaxonomy 174400000X · License 16881 (MS)

907 E SUNFLOWER RD, Cleveland, MS 38732

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Secondary Practice Location 1

Location 1999 N Curtis Rd Ste 415Boise, ID 83706-1334 · Phone (208) 302-2600 · Fax (208) 302-2625

Other Identifiers 2

Medicaid00122620MS

Other7887026Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

Dr. Roger Alan Blake M.d. 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 ID8022049501

PECOS Enrollment IDI20050824000718, I20240801001698, I20241112000962

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140091

Location611 West Park StreetUrbana, IL 61801 · Champaign County

Emergency services Birthing friendly

Ochsner Rush Hospital

Acute Care Hospitals · Meridian, MS

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number250069

Location1314 19th AveMeridian, MS 39301 · Lauderdale County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

47%173 patients3/55-star benchmark: 92%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

39%271 patients2/55-star benchmark: 85%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

99%1,161 patients4/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

100%140 patients5/55-star benchmark: 100%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

91%464 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

54%294 patients3/55-star benchmark: 99%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

77%496 patients4/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 98% · 208 patients

Patients tobacco: 98% · 208 patients

100%50 patients5/55-star benchmark: 98%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

69%294 patients3/55-star benchmark: 100%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 0% · 161 patients

0%161 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each A4415

DME-Orthotic Devices · category DF010N

1 supplier12 claims120 services$4.81 avg. paid by Medicare

Ostomy pouch, closed; for use on barrier with flange (2 piece), each A5054

DME-Orthotic Devices · category DF010N

1 supplier12 claims360 services$1.55 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 12

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

NELSON MEDICAL CONSULTING, INC.

Family Medicine

907 E SUNFLOWER RD, STE 101
CLEVELAND, MS 38732

Bolivar County (662) 721-1399

BOLIVAR PHYSICIAN PRACTICES LLC

Orthopaedic Surgery

907 E SUNFLOWER RD, SUITE 102
CLEVELAND, MS 38732

Bolivar County (662) 843-8885

PETER D. MCARTHUR M.D.

Otolaryngology

907 E SUNFLOWER RD
CLEVELAND, MS 38732

Bolivar County (662) 843-8801

DR. WAYNE ANTHONY DOTSON MD

Specialist

907 E SUNFLOWER RD, SUITE 102
CLEVELAND, MS 38732

Bolivar County (662) 843-8880

DELTA WOUND CARE PLLC

Emergency Medicine (Undersea and Hyperbaric Medicine)

907 E SUNFLOWER RD, SUITE 102
CLEVELAND, MS 38732

Bolivar County (662) 545-4443

MICHAEL BRASWELL

Specialist

907 E SUNFLOWER RD, SUITE 102
CLEVELAND, MS 38732

Bolivar County (662) 843-8880

BOLIVAR PHYSICIAN PRACTICES LLC

Urology

907 E SUNFLOWER RD, SUITE 103
CLEVELAND, MS 38732

Bolivar County (662) 846-9990

DR. SCOTT NELSON MD

Family Medicine

907 E SUNFLOWER RD, STE 101
CLEVELAND, MS 38732

Bolivar County (662) 721-1399

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 Roger Blake's NPI number?

The NPI number for Roger Blake is 1023049335. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Roger Blake located?

Roger Blake practices at 907 E Sunflower Rd 101, Cleveland, MS 38732. The listed phone number is (662) 846-8880.

What is Roger Blake's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Roger Blake enrolled in Medicare?

Yes. Roger 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 Roger Blake accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 5 other insurers list Roger 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.

Is Roger Blake affiliated with any hospitals?

According to CMS data, Roger Blake is affiliated with Carle Foundation Hospital and Ochsner Rush Hospital.

When was this NPI record last updated?

The NPPES record for Roger Blake was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.