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DR. KATHERINE M BLAKE D.O.
NPI 1225304322
Family Medicine in Libertyville, IL

Active since March 22, 2012PECOS EnrolledAccepts Medicare Assignment
131 E PARK AVE STE 103, LIBERTYVILLE, IL 60048(847) 984-3290(847) 255-2015 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 10, 2026, May 3, 2022, Jun 4, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Katherine M Blake D.o. NPPES

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

DR. KATHERINE M BLAKE D.O. (NPI 1225304322) is an individual family medicine provider in Libertyville, Illinois, licensed in Illinois (036136377) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with Northwestern Lake Forest Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1225304322
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KATHERINE M BLAKECredential: D.O.
Location Address131 E PARK AVE STE 103Libertyville, IL 60048-2858
Mailing Address131 E Park Ave Ste 103Libertyville, IL 60048-2858 · (847) 984-3290 · Fax (847) 255-2015
Phone(847) 984-3290
Fax(847) 255-2015
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2012
Enumeration DateMarch 22, 2012
Last NPPES UpdateMarch 10, 20264 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
✔ NPI 1225304322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036136377✔ Licensed in IL · 125-061735✔ Licensed in WI · 64086
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X · License 036136377 (IL)
131 E PARK AVE STE 103, Libertyville, IL 60048
Open in Google Maps ↗

Secondary Practice Locations 2

Location 16609 W Greenfield AveWest Allis, WI 53214-4958 · Phone (414) 257-8577
Location 2635 N Dearborn St Ste 100Chicago, IL 60654-4618 · Phone (312) 694-2127 · Fax (312) 694-2129

Other Identifiers 1

Medicaid100046359WI

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. Katherine M Blake D.o. 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 ID42524480
PECOS Enrollment IDI20150729010152, I20180322002510
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 10

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
202 services183 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.
164 services162 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.
146 services143 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
65 services63 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
55 services55 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.
46 services46 patients

Hospital Affiliations CMS Care Compare 2

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

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County
Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60048 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

BLAKE MEDICAL CARE SC
Family Medicine
131 E PARK AVE STE 103
LIBERTYVILLE, IL 60048
Lake County (847) 984-3290
NORTHSTAR REHAB PAIN CLINICS PLLC
Physical Medicine & Rehabilitation
131 E PARK AVE STE 103
LIBERTYVILLE, IL 60048
Lake County (847) 393-6246
NORTHSTAR REHAB PAIN CLINICS PLLC
Durable Medical Equipment & Medical Supplies
131 E PARK AVE STE 103
LIBERTYVILLE, IL 60048
Lake County (847) 393-6246

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 Katherine Blake's NPI number?

The NPI number for Katherine Blake is 1225304322. It was assigned to this individual provider in the NPPES registry on March 22, 2012.

Where is Katherine Blake located?

Katherine Blake practices at 131 E Park Ave Ste 103, Libertyville, IL 60048. The listed phone number is (847) 984-3290.

What is Katherine Blake's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Katherine Blake enrolled in Medicare?

Yes. Katherine 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.

Is Katherine Blake affiliated with any hospitals?

According to CMS data, Katherine Blake is affiliated with Northwestern Lake Forest Hospital and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Katherine Blake was last updated on March 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.