SCOTT M BLAKE DDS
NPI 1376684175
Dentist - Oral and Maxillofacial Pathology in Idaho Falls, ID

Q: What is Scott Blake's NPI number?

The NPI number for Scott Blake is 1376684175. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Q: What is Scott Blake's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Q: When was this NPI record last updated?

The NPPES record for Scott Blake was last updated on October 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since February 12, 2007PECOS Enrolled

333 S WOODRUFF AVE, IDAHO FALLS, ID 83401(208) 523-2160(208) 552-8079 Get Directions Write a Review

NPPES record last updated: October 15, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Scott M Blake Dds NPPES

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

SCOTT M BLAKE DDS (NPI 1376684175) is an individual oral and maxillofacial pathology provider in Idaho Falls, Idaho, licensed in Idaho (D3728) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376684175

Entity TypeIndividualMale

Primary Taxonomy1223P0106X

Provider Legal NameSCOTT M BLAKECredential: DDS

Location Address333 S WOODRUFF AVEIdaho Falls, ID 83401-4322

Mailing Address333 S Woodruff AveIdaho Falls, ID 83401-4322 · (208) 523-2160 · Fax (208) 552-8079

Phone(208) 523-2160

Fax(208) 552-8079

Sole ProprietorNo

Enumeration DateFebruary 12, 2007

Last NPPES UpdateOctober 15, 2015

✔ NPI 1376684175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers

Taxonomy Code1223P0106X

License✔ Licensed in ID · D3728

Definition

The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.

333 S WOODRUFF AVE, Idaho Falls, ID 83401

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Other Identifiers 7

Other000010143970ID · Regence Blue Shield

Medicaid806720800ID

Medicaid806657300ID

Other1504752ID · United Concordia

Medicare UPIN6M014ID

Medicaid118557800WY

Other6I468ID · Federal Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 (PECOS)

Scott M Blake Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83401 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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 12

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

OWEN DENTAL, PC

Dentist (General Practice)

333 S WOODRUFF AVE
IDAHO FALLS, ID 83401

Bonneville County (208) 523-4700

KEVIN RICHARD MUDROW D.D.S.

Dentist

333 S WOODRUFF AVE, SUITE F
IDAHO FALLS, ID 83401

Bonneville County (208) 524-2030

RUSSELL GUYMON ORTHODONTICS, PA

Dentist (Orthodontics and Dentofacial Orthopedics)

333 S WOODRUFF AVE
IDAHO FALLS, ID 83401

Bonneville County (208) 529-3500

KEVIN MUDROW DDS PLLC

Dentist

333 S WOODRUFF AVE
IDAHO FALLS, ID 83401

Bonneville County (208) 524-2036

VERNON O. GAFFNER, D.M.D., P.A.

Dentist

333 S WOODRUFF AVE
IDAHO FALLS, ID 83401

Bonneville County (208) 524-2034

VERNON O GAFFNER D.M.D.

Dentist (General Practice)

333 S WOODRUFF AVE
IDAHO FALLS, ID 83401

Bonneville County (208) 524-2034

DR. RYAN MCGRAW DC

Chiropractor

333 S WOODRUFF AVE
IDAHO FALLS, ID 83401

Bonneville County (208) 522-2591

DR. ANDREW RYAN BRADBURY MD

Family Medicine

333 S WOODRUFF AVE
IDAHO FALLS, ID 83401

Bonneville County (208) 413-7917

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 Scott Blake's NPI number?

The NPI number for Scott Blake is 1376684175. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Scott Blake located?

Scott Blake practices at 333 S Woodruff Ave, Idaho Falls, ID 83401. The listed phone number is (208) 523-2160.

What is Scott Blake's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Scott Blake enrolled in Medicare?

Yes. Scott Blake is registered in the Medicare PECOS enrollment system.

What insurance does Scott Blake accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Scott 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.

When was this NPI record last updated?

The NPPES record for Scott Blake was last updated on October 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.