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KENNETH D BLAKE MD
NPI 1174622070
Colon & Rectal Surgery in Lone Tree, CO

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment
10103 RIDGEGATE PKWY, SUITE 208, LONE TREE, CO 80124(303) 535-5350(303) 535-5353 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 6, 2023, Oct 22, 2021, Mar 24, 2017 (3 updates tracked since 2017).

About Kenneth D Blake Md NPPES

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

KENNETH D BLAKE MD (NPI 1174622070) is an individual colon & rectal surgery provider in Lone Tree, Colorado, licensed in Colorado (41202) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (1986).

NPPES Registry Identity

NPI1174622070
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameKENNETH D BLAKECredential: MD
Location Address10103 RIDGEGATE PKWY, SUITE 208Lone Tree, CO 80124-5520
Mailing Address8490 E Crescent Pkwy Ste 380Greenwood Village, CO 80111-2815 · (303) 957-1310 · Fax (303) 761-4252
Phone(303) 535-5350
Fax(303) 535-5353
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1986
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJune 6, 20233 updates tracked since enumeration
NPPES CertifiedJune 6, 2023
✔ NPI 1174622070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in CO · 41202
Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

10103 RIDGEGATE PKWY, Lone Tree, CO 80124
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Other Identifiers 1

Medicaid04305876CO

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

Kenneth D Blake Md 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 ID5890682744
PECOS Enrollment IDI20040716000032
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 6

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.

Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
51 services43 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
33 services25 patients
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.
21 services20 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services13 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80124 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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 4

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), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
2 suppliers14 claims345 services$7.90 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
2 suppliers14 claims380 services$3.43 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
2 suppliers11 claims850 services$0.23 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
3 suppliers12 claims475 services$0.21 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 20

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

JOHN R BARKER M.D.
Orthopaedic Surgery
10103 RIDGEGATE PKWY
LONE TREE, CO 80124
Douglas County (303) 225-8120
DOUGLAS D BENSON MD
Colon & Rectal Surgery
10103 RIDGEGATE PKWY, SUITE 208
LONE TREE, CO 80124
Douglas County (303) 535-5350
SPINAL MONITORING SERVICES, INC
Technician, Other
10103 RIDGEGATE PKWY, SUITE 306
LONE TREE, CO 80124
Douglas County (303) 225-8120
JOLENE RENE CHADWICK RN
Registered Nurse
10103 RIDGEGATE PKWY
LONE TREE, CO 80124
Douglas County (303) 788-8888
ERIC R JAMRICH M.D.
Orthopaedic Surgery
10103 RIDGEGATE PKWY
LONE TREE, CO 80124
Douglas County (303) 225-8120
MRS. DIANE EVA LUCERO MSN PNNP RDMS
Nurse Practitioner (Perinatal)
10103 RIDGEGATE PKWY, SUITE 212
LONE TREE, CO 80124
Douglas County (303) 792-5585
STEVEN M GROVER M.D.
Obstetrics & Gynecology
10103 RIDGEGATE PKWY, SUITE 200
LONE TREE, CO 80124
Douglas County (303) 788-6657
RAEF HAJJALI MD
Internal Medicine (Interventional Cardiology)
10103 RIDGEGATE PKWY, SUITE 103
LONE TREE, CO 80124
Douglas County (303) 645-0090

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 Kenneth Blake's NPI number?

The NPI number for Kenneth Blake is 1174622070. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Kenneth Blake located?

Kenneth Blake practices at 10103 Ridgegate Pkwy Suite 208, Lone Tree, CO 80124. The listed phone number is (303) 535-5350.

What is Kenneth Blake's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Kenneth Blake enrolled in Medicare?

Yes. Kenneth 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.

When was this NPI record last updated?

The NPPES record for Kenneth Blake was last updated on June 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.