DR. BLAKE DAVID BUTTERWORTH M.D.
NPI 1235543539
Obstetrics & Gynecology in Ponte Vedra, FL

Q: What is the provider's specialty?

The provider's specialty is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since June 13, 2014PECOS EnrolledAccepts Medicare Assignment

400 COLONNADE DR STE 230, PONTE VEDRA, FL 32081(904) 640-8249(904) 640-8250 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 23, 2023, Oct 27, 2022, Oct 12, 2022 and 1 more (4 updates tracked since 2019).

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About Dr. Blake David Butterworth M.d. NPPES

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

DR. BLAKE DAVID BUTTERWORTH M.D. (NPI 1235543539) is an individual obstetrics & gynecology provider in Ponte Vedra, Florida, licensed in Florida (ME135629) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1235543539

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. BLAKE DAVID BUTTERWORTHCredential: M.D.

Location Address400 COLONNADE DR STE 230Ponte Vedra, FL 32081-6237

Mailing AddressPo Box 748817Atlanta, GA 30374-8817 · (813) 286-0033 · Fax (813) 282-1806

Phone(904) 640-8249

Fax(904) 640-8250

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJune 13, 2014

Last NPPES UpdateJune 23, 20234 updates tracked since enumeration

NPPES CertifiedJune 23, 2023

✔ NPI 1235543539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in FL · ME135629

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

400 COLONNADE DR STE 230, Ponte Vedra, FL 32081

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Secondary Practice Locations 3

Location 19404 Waypoint PlJacksonville, FL 32257-5588 · Phone (904) 260-2255 · Fax (904) 739-7557

Location 210898 Baymeadows Rd Ste 200Jacksonville, FL 32256-5838 · Phone (904) 260-2255 · Fax (904) 519-0633

Location 314546 Old Saint Augustine Rd Ste 311-305Jacksonville, FL 32258-5468 · Phone (904) 260-2255 · Fax (904) 260-2251

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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 David Butterworth 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 ID5294024923

PECOS Enrollment IDI20180823001979

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

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32081 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

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.

BAPTIST CARDIOLOGY INC

Internal Medicine (Cardiovascular Disease)

400 COLONNADE DR STE 230
PONTE VEDRA, FL 32081

St. Johns County (904) 720-0599

MRS. CHRISTINE MONAHAN VENTRESCA LMHC

Counselor (Mental Health)