DR. KIMBERLY BLAKE M.D.
NPI 1265480222
Obstetrics & Gynecology in Burlington, VT

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
96 COLCHESTER AVE, BURLINGTON, VT 05401(802) 658-0505 Get Directions Write a Review

NPPES record last updated: January 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 2, 2020, Oct 17, 2018 (2 updates tracked since 2018).

About Dr. Kimberly Blake M.d. NPPES

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

DR. KIMBERLY BLAKE M.D. (NPI 1265480222) is an individual obstetrics & gynecology provider in Burlington, Vermont, licensed in New York (302048) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Univ. Of Vermont - Fletcher Allen Health Care, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1265480222
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. KIMBERLY BLAKECredential: M.D.
Location Address96 COLCHESTER AVEBurlington, VT 05401-1417
Mailing Address96 Colchester AveBurlington, VT 05401-1417 · (802) 658-0505
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateMay 4, 2006
Last NPPES UpdateJanuary 2, 20202 updates tracked since enumeration
NPI 1265480222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in NY · 302048 Licensed in VT · 0420008805
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.

96 COLCHESTER AVE, Burlington, VT 05401

Secondary Practice Locations 3

Location 1855 Pine StBurlington, VT 05401-4924 · Phone (802) 488-6000
Location 275 San Remo DrSouth Burlington, VT 05403-6385 · Phone (802) 488-6000 · Fax (802) 488-6919
Location 375 Beekman StPlattsburgh, NY 12901-1438 · Phone (518) 561-2000

Other Identifiers 2

Medicaid0VN0812VT
Other160050512VT · Rail Road Medicare

Accepted 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. Kimberly Blake 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 ID5991713380
PECOS Enrollment IDI20060327000511
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 2

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.

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.
17 services13 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05401 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
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
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 5

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

Clinic/Center
96 COLCHESTER AVE
BURLINGTON, VT 05401
Obstetrics & Gynecology
96 COLCHESTER AVE
BURLINGTON, VT 05401
Obstetrics & Gynecology
96 COLCHESTER AVE, AFFILIATES IN OB/GYN
BURLINGTON, VT 05401
Obstetrics & Gynecology
96 COLCHESTER AVE
BURLINGTON, VT 05401
Nurse Practitioner
96 COLCHESTER AVE
BURLINGTON, VT 05401

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 Kimberly Blake's NPI number?

The NPI number for Kimberly Blake is 1265480222. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Kimberly Blake located?

Kimberly Blake practices at 96 Colchester Ave, Burlington, VT 05401. The listed phone number is (802) 658-0505.

What is Kimberly Blake's specialty?

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

Is Kimberly Blake enrolled in Medicare?

Yes. Kimberly 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.

What insurance does Kimberly Blake accept?

Health plans from Anthem Blue Cross and Blue Shield list Kimberly Blake 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 Kimberly Blake affiliated with any hospitals?

According to CMS data, Kimberly Blake is affiliated with Univ. Of Vermont - Fletcher Allen Health Care.

When was this NPI record last updated?

The NPPES record for Kimberly Blake was last updated on January 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.