Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MATTHEW BLACKE MD
NPI 1518220169
Family Medicine in Everett, WA

Q: What is Matthew Blacke's NPI number?

The NPI number for Matthew Blacke is 1518220169. It was assigned to this individual provider in the NPPES registry on June 19, 2012.

Q: What is Matthew Blacke's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Blacke was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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 June 19, 2012PECOS EnrolledAccepts Medicare Assignment

3927 RUCKER AVE, EVERETT, WA 98201(425) 339-5422(425) 339-5444 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2026, Apr 13, 2023, May 23, 2022 and 1 more (4 updates tracked since 2016).

On this page

About Matthew Blacke Md NPPES

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

MATTHEW BLACKE MD (NPI 1518220169) is an individual family medicine provider in Everett, Washington, licensed in Washington (MD60489115) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Olympic Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1518220169

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMATTHEW BLACKECredential: MD

Location Address3927 RUCKER AVEEverett, WA 98201-4833

Mailing Address7600 Evergreen WayEverett, WA 98203-6421 · (206) 860-5414

Phone(425) 339-5422

Fax(425) 339-5444

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJune 19, 2012

Last NPPES UpdateJune 16, 20264 updates tracked since enumeration

NPPES CertifiedJune 16, 2026

✔ NPI 1518220169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · MD60489115

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3927 RUCKER AVE, Everett, WA 98201

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Other Identifiers 1

Medicaid2020095WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska 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 and accepts Medicare assignment

Matthew Blacke 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 ID7517182645

PECOS Enrollment IDI20151204001132

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 4

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

288 services268 patients

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.

75 services72 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

29 services29 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

24 services22 patients

Hospital Affiliations CMS Care Compare

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

Olympic Medical Center

Acute Care Hospitals · Port Angeles, WA

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number500072

Location939 Caroline StPort Angeles, WA 98362 · Clallam County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98201 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

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.

RAYNALD H IM M.D.

Family Medicine