DR. BLAKE COOPER CORCORAN M.D.
NPI 1235490038
Family Medicine - Sports Medicine in Lebanon, OR

Q: What is Blake Corcoran's NPI number?

The NPI number for Blake Corcoran is 1235490038. It was assigned to this individual provider in the NPPES registry on June 7, 2012.

Q: What is Blake Corcoran's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Blake Corcoran was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 07, 2012PECOS EnrolledAccepts Medicare Assignment

675 N 5TH ST, LEBANON, OR 97355(541) 451-6282 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2026, Dec 20, 2024, Aug 14, 2019 and 1 more (4 updates tracked since 2016).

On this page

About Dr. Blake Cooper Corcoran M.d. NPPES

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

DR. BLAKE COOPER CORCORAN M.D. (NPI 1235490038) is an individual sports medicine provider in Lebanon, Oregon, licensed in Oregon (MD222671) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Samaritan Albany General Hospital, and maintains a secondary practice location in Pullman.

NPPES Registry Identity

NPI1235490038

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. BLAKE COOPER CORCORANCredential: M.D.

Location Address675 N 5TH STLebanon, OR 97355-2875

Mailing AddressPo Box 1189Corvallis, OR 97339-1189

Phone(541) 451-6282

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2012

Enumeration DateJune 7, 2012

Last NPPES UpdateMarch 11, 20264 updates tracked since enumeration

NPPES CertifiedMarch 11, 2026

✔ NPI 1235490038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

Licenses✔ Licensed in OR · MD222671✔ Licensed in PA · MD458625✔ Licensed in WA · MD60771757

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License MD458625 (PA), MD600771757 (WA)

675 N 5TH ST, Lebanon, OR 97355

Open in Google Maps ↗

Secondary Practice Location 1

Location 11125 SE Washington St.Pullman, WA 99164 · Phone (509) 335-3575 · Fax (509) 335-6223

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska 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. Blake Cooper Corcoran 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 ID8729222393

PECOS Enrollment IDI20241204004582

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.

Samaritan Albany General Hospital

Acute Care Hospitals · Albany, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number380022

Location1046 6th Avenue SWAlbany, OR 97321 · Linn County

Emergency services Birthing friendly

Samaritan Lebanon Community Hospital

Critical Access Hospitals · Lebanon, OR

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number381323

Location525 N Santiam HighwayLebanon, OR 97355 · Linn County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97355 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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 20

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

MRS. KAREN ANN JOHNSTON RPH

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)