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BLAISE W BAXTER MD
NPI 1487681342
Radiology - Vascular & Interventional Radiology in San Francisco, CA

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
1100 VAN NESS AVE, SAN FRANCISCO, CA 94109(415) 600-7887(415) 369-1395 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 7, 2023, Oct 12, 2022, Jan 21, 2022 (3 updates tracked since 2022).

About Blaise W Baxter Md NPPES

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

BLAISE W BAXTER MD (NPI 1487681342) is an individual vascular & interventional radiology provider in San Francisco, California, licensed in Pennsylvania (MD468416) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Dominic-jackson Memorial Hospital, and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1487681342
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameBLAISE W BAXTERCredential: MD
Location Address1100 VAN NESS AVESan Francisco, CA 94109-6978
Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (415) 600-7887 · Fax (415) 369-1395
Phone(415) 600-7887
Fax(415) 369-1395
Sole ProprietorNo
Medical School CMSDalhousie University, Faculty Of MedicineGraduated 1988
Enumeration DateJune 27, 2006
Last NPPES UpdateJuly 7, 20233 updates tracked since enumeration
NPPES CertifiedJune 29, 2023
✔ NPI 1487681342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Licenses✔ Licensed in PA · MD468416✔ Licensed in RI · MD19382
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 31416 (TN), C171504 (CA)
1100 VAN NESS AVE, San Francisco, CA 94109
Open in Google Maps ↗

Secondary Practice Location 1

Location 1593 Eddy St, George Bldg 2nd FLProvidence, RI 02903-4923 · Phone (401) 606-2645 · Fax (401) 606-4386

Other Identifiers 1

OtherC171504CA · State Medical License

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

Blaise W Baxter Md 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 ID6507763232
PECOS Enrollment IDI20031218000926, I20160427001863, I20211018001207
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

8

Medicare enrollment records show Blaise Baxter reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sutter Bay Medical Foundation
15 mi
Multi-Specialty
12 CAMINO ENCINAS
Orinda, CA 94563
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group
NPI 1366898538 (510) 204-8180
Radiant Imaging, Inc.
352 mi
Diagnostic Radiology
223 N 1ST AVE, SUITE 201
Arcadia, CA 91006
  • Reassigned Medicare billing, California enrollment
  • 61 clinicians in this Medicare group
NPI 1437583200 (626) 821-1411
Avera Mckennan
1,234 mi
Multi-Specialty
100 MAC LN
Pierre, SD 57501
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,277 clinicians in this Medicare group
NPI 1780829283 (605) 224-5901
Memorial Health Partners Foundation, Inc
2,069 mi
Internal Medicine
5600 BRAINERD RD, SUITE 500
Chattanooga, TN 37411
  • Reassigned Medicare billing, Georgia and Tennessee enrollments
  • 242 clinicians in this Medicare group
NPI 1922053545 (423) 495-6870
Blue Ridge Medical Management Corporation
2,164 mi
Obstetrics & Gynecology
900 W MAIN ST, HEALTH LINK OF ROGERSVILLE
Rogersville, TN 37857
  • Reassigned Medicare billing, Tennessee enrollment
  • 496 clinicians in this Medicare group
NPI 1134139017 (423) 272-0542
Medical Imaging Of Lehigh Valley PC
2,496 mi
Diagnostic Radiology
1200 S CEDAR CREST BLVD
Allentown, PA 18103
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 122 clinicians in this Medicare group
NPI 1134178023 (610) 770-1606
Cleveland Clinic Florida A Nonprofit Corporation
2,575 mi
Clinic/Center
2950 CLEVELAND CLINIC BLVD
Weston, FL 33331
  • Reassigned Medicare billing, Florida enrollment
  • 839 clinicians in this Medicare group
NPI 1215989298 (954) 659-6035
Rhode Island Hospital
2,689 mi
Multi-Specialty
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 358 clinicians in this Medicare group
NPI 1154537520 (401) 444-6905

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

Areas of Expertise CMS Part B claims 3

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.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
35 services35 patients
Removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance 61645
This procedure involves removing a blood clot from a head artery. A special imaging technique called fluoroscopy is used for guidance. Additionally, an injection is given to help dissolve any remaining clot. This helps restore normal blood flow to the brain.
14 services14 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

St Dominic-Jackson Memorial Hospital

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number250048
Location969 Lakeland DrJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440091
Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94109 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

CHIALIN LEE PA-C
Physician Assistant
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
San Francisco County (415) 600-1151
JACQUELYN GEERTSEMA
Registered Nurse (Critical Care Medicine)
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
San Francisco County (559) 250-5852
DR. JAMES FREDERICK VERREES M.D.
Obstetrics & Gynecology
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
San Francisco County (415) 750-7050
DR. JACQUELINE ELIZABETH SUMMERS STROMBERG MD
Psychiatry & Neurology (Neurology)
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
San Francisco County (415) 600-7880
DR. MATTHEW G MACDOUGALL M.D.
Neurological Surgery
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
San Francisco County (415) 600-0528
DR. WARREN TACKHOON KIM M.D., PH.D.
Radiology (Vascular & Interventional Radiology)
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
San Francisco County (415) 600-0528
SHEENA PILLAI
Physical Medicine & Rehabilitation
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
San Francisco County (415) 600-7886
KATRINA ELIZABETH MADDOX FNP
Nurse Practitioner (Family)
1100 VAN NESS AVE
SAN FRANCISCO, CA 94109
San Francisco County (415) 600-1151

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 Blaise Baxter's NPI number?

The NPI number for Blaise Baxter is 1487681342. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Blaise Baxter located?

Blaise Baxter practices at 1100 Van Ness Ave, San Francisco, CA 94109. The listed phone number is (415) 600-7887.

What is Blaise Baxter's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Blaise Baxter enrolled in Medicare?

Yes. Blaise Baxter 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 Blaise Baxter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blaise Baxter reassigns Medicare benefits to 8 organizations: Sutter Bay Medical Foundation (Orinda, CA), Radiant Imaging, Inc. (Arcadia, CA), Avera Mckennan (Pierre, SD), Memorial Health Partners Foundation, Inc (Chattanooga, TN), Blue Ridge Medical Management Corporation (Rogersville, TN) and 3 more organizations, listed in the Medicare section above. 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 Blaise Baxter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Blaise Baxter affiliated with any hospitals?

According to CMS data, Blaise Baxter is affiliated with St Dominic-Jackson Memorial Hospital and Memorial Healthcare System, Inc.

When was this NPI record last updated?

The NPPES record for Blaise Baxter was last updated on July 7, 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.