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

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: October 18, 2026.

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

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
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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., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Blake Corcoran reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mid-Valley Healthcare, Inc.
Same address
Family Medicine
675 N 5TH ST
Lebanon, OR 97355
  • Reassigned Medicare billing, Oregon enrollment
  • Also billed through NPI 1508122763 (Oregon)
  • 416 clinicians in this Medicare group
NPI 1831247105 (541) 451-6282
Good Samaritan Hospital Corvallis
11 mi
Psychiatry
1052 29TH AVE SW
Albany, OR 97321
  • Reassigned Medicare billing, Oregon enrollment
  • 522 clinicians in this Medicare group
NPI 1023376654 (541) 768-5235
Public Hospital District #1-A Of Whitman County
316 mi
Family Medicine
835 SE BISHOP BLVD
Pullman, WA 99163
  • Reassigned Medicare billing, Washington enrollment
  • Also billed through NPI 1366446767 (Washington)
  • 151 clinicians in this Medicare group
NPI 1881475051 (509) 336-7300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
675 N 5TH ST
LEBANON, OR 97355
Linn County (541) 451-7119
MRS. ABIGAIL SUSANNE DEMCHAK
Social Worker
675 N 5TH ST
LEBANON, OR 97355
Linn County (541) 451-6282
LAN STARKWEATHER PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
675 N 5TH ST
LEBANON, OR 97355
Linn County (541) 451-7119
MS. KAREN DENISE MALLOZZI ARNP
Nurse Practitioner (Family)
675 N 5TH ST
LEBANON, OR 97355
Linn County (541) 451-6282
DR. KARA CHRISTINE MINTIER D.O
Neuromusculoskeletal Medicine & OMM
675 N 5TH ST
LEBANON, OR 97355
Linn County (541) 451-6282
DR. RICHARD HOWELL AMES DO
Pediatrics
675 N 5TH ST
LEBANON, OR 97355
Linn County (541) 451-6282
DR. ROBERT PAULSEN MICHAEL M.D.
Pediatrics
675 N 5TH ST
LEBANON, OR 97355
Linn County (541) 451-6282
CAROLINA DEL SOCORRO AMADOR MD
Pediatrics
675 N 5TH ST
LEBANON, OR 97355
Linn County (541) 451-6282

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 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.

Where is Blake Corcoran located?

Blake Corcoran practices at 675 N 5th St, Lebanon, OR 97355. The listed phone number is (541) 451-6282.

What is Blake Corcoran's specialty?

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

Is Blake Corcoran enrolled in Medicare?

Yes. Blake Corcoran 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.

Which organizations bill Medicare for Blake Corcoran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blake Corcoran reassigns Medicare benefits to 3 organizations: Mid-Valley Healthcare, Inc. (Lebanon, OR), Good Samaritan Hospital Corvallis (Albany, OR) and Public Hospital District #1-A Of Whitman County (Pullman, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Blake Corcoran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Blake Corcoran accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Blake Corcoran 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 Blake Corcoran affiliated with any hospitals?

According to CMS data, Blake Corcoran is affiliated with Samaritan Albany General Hospital and Samaritan Lebanon Community Hospital.

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 7 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.