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

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: August 09, 2026.

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

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
Open in Google Maps ↗

Secondary Practice Locations 3

Location 19404 Waypoint PlJacksonville, FL 32257-5588 · Phone (904) 260-2255 · Fax (904) 739-7557
Location 214546 Old Saint Augustine Rd Ste 311-305Jacksonville, FL 32258-5468 · Phone (904) 260-2255 · Fax (904) 260-2251
Location 310898 Baymeadows Rd Ste 200Jacksonville, FL 32256-5838 · Phone (904) 260-2255 · Fax (904) 519-0633

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.

MS. SHARON MARIE DESMARAIS MD
Obstetrics & Gynecology
400 COLONNADE DR STE 230
PONTE VEDRA, FL 32081
St. Johns County (904) 640-8249
MRS. CHRISTINE MONAHAN VENTRESCA LMHC
Counselor (Mental Health)
400 COLONNADE DR STE 230
PONTE VEDRA BEACH, FL 32081
St. Johns County (904) 376-3800
DR. MEGAN LEANNE KRANTZ PHD
Psychologist (Clinical)
400 COLONNADE DR STE 230
PONTE VEDRA BEACH, FL 32081
St. Johns County (904) 376-3800
TYRA JEAN GUNN APRN
Nurse Practitioner (Women's Health)
400 COLONNADE DR STE 230
PONTE VEDRA, FL 32081
St. Johns County (904) 640-8249
DR. CHRISTINA STOUGH ADAMS MD
Obstetrics & Gynecology
400 COLONNADE DR STE 230
PONTE VEDRA, FL 32081
St. Johns County (904) 640-8249
ANDREW BROWN KING PHD
Psychologist (Clinical)
400 COLONNADE DR STE 230
PONTE VEDRA BEACH, FL 32081
St. Johns County (904) 376-3800
LYERLY BAPTIST INC
Family Medicine (Obesity Medicine)
400 COLONNADE DR STE 230
PONTE VEDRA, FL 32081
St. Johns County (904) 202-1795
BRITTANY BUCHANAN KELLY APRN
Nurse Practitioner (Family)
400 COLONNADE DR STE 230
PONTE VEDRA, FL 32081
St. Johns County (904) 640-8249

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 Butterworth's NPI number?

The NPI number for Blake Butterworth is 1235543539. It was assigned to this individual provider in the NPPES registry on June 13, 2014.

Where is Blake Butterworth located?

Blake Butterworth practices at 400 Colonnade Dr Ste 230, Ponte Vedra, FL 32081. The listed phone number is (904) 640-8249.

What is Blake Butterworth's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Blake Butterworth enrolled in Medicare?

Yes. Blake Butterworth 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.

What insurance does Blake Butterworth accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Blake Butterworth 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 Butterworth affiliated with any hospitals?

According to CMS data, Blake Butterworth is affiliated with Baptist Health Medical Center - Jacksonville.

When was this NPI record last updated?

The NPPES record for Blake Butterworth was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.