BLAKE ALEXANDER MEDLEY
NPI 1043880834
Physician Assistant in Talbott, TN

Q: What is Blake Medley's NPI number?

The NPI number for Blake Medley is 1043880834. It was assigned to this individual provider in the NPPES registry on June 25, 2021.

Q: What is Blake Medley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Blake Medley was last updated on June 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 25, 2021PECOS EnrolledAccepts Medicare Assignment

204 SHAVER DR, TALBOTT, TN 37877(423) 581-7040(423) 581-9563 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Blake Alexander Medley NPPES

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

BLAKE ALEXANDER MEDLEY (NPI 1043880834) is an individual physician assistant in Talbott, Tennessee, licensed in Tennessee (4617) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1043880834

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameBLAKE ALEXANDER MEDLEY

Location Address204 SHAVER DRTalbott, TN 37877-8552

Mailing Address204 Shaver DrTalbott, TN 37877-8552 · (423) 581-7040 · Fax (423) 581-9563

Phone(423) 581-7040

Fax(423) 581-9563

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 25, 2021

NPPES CertifiedJune 25, 2021

✔ NPI 1043880834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TN · 4617

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.

204 SHAVER DR, Talbott, TN 37877

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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

Blake Alexander Medley 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 ID9830591270

PECOS Enrollment IDI20210708000763

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

17 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37877 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

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Other Providers at the Same Location NPPES 6

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

MRS. RACHEL ROUSE DEARING FNP

Nurse Practitioner (Family)