RICHARD W. BLAKE PA-C
NPI 1740235829
Physician Assistant - Medical in Wasilla, AK

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
13.5/100
CMS Quality Rating
3600 E WICKERSHAM WAY, WASILLA, AK 99654(907) 373-5950(907) 373-5954 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Dec 21, 2020, Oct 9, 2019 (3 updates tracked since 2019).

About Richard W. Blake Pa-c NPPES

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

RICHARD W. BLAKE PA-C (NPI 1740235829) is an individual medical provider in Wasilla, Alaska, licensed in Alaska (PADA482) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of North Dakota School Of Medicine (2000).

NPPES Registry Identity

NPI1740235829
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameRICHARD W. BLAKECredential: PA-C
Location Address3600 E WICKERSHAM WAYWasilla, AK 99654
Mailing Address3600 E Wickersham WayWasilla, AK 99654 · (907) 373-5950 · Fax (907) 373-5954
Fax(907) 373-5954
Sole ProprietorYes
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2000
Enumeration DateMay 24, 2006
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedDecember 21, 2020
NPI 1740235829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in AK · PADA482 Licensed in AK · 482
Also ListedPhysician AssistantTaxonomy 363A00000X
3600 E WICKERSHAM WAY, Wasilla, AK 99654

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

Richard W. Blake Pa-c 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 ID8527070655
PECOS Enrollment IDI20060608000043
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 12

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.
952 services363 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
768 services339 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
183 services43 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
112 services78 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
77 services32 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.
76 services65 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

13.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost45

Referred Medical Equipment & Supplies CMS DME claims 22

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers32 claims135 services$6.13 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers15 claims1,750 services$0.99 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers36 claims36 services$42.23 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers19 claims19 services$118.53 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers23 claims45 services$39.57 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers22 claims106 services$22.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Hearing Instrument Specialist
3600 E WICKERSHAM WAY
WASILLA, AK 99654
Hearing Instrument Specialist
3600 E WICKERSHAM WAY
WASILLA, AK 99654
Internal Medicine
3600 E WICKERSHAM WAY
WASILLA, AK 99654
Hearing Instrument Specialist
3600 E WICKERSHAM WAY
WASILLA, AK 99654
Hearing Instrument Specialist
3600 E WICKERSHAM WAY
WASILLA, AK 99654
Hearing Instrument Specialist
3600 E WICKERSHAM WAY
WASILLA, AK 99654

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 Richard Blake's NPI number?

The NPI number for Richard Blake is 1740235829. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Richard Blake located?

Richard Blake practices at 3600 E Wickersham Way, Wasilla, AK 99654. The listed phone number is (907) 373-5950.

What is Richard Blake's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Richard Blake enrolled in Medicare?

Yes. Richard 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 Richard Blake accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Richard 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 Richard Blake was last updated on March 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.