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DR. BLAKE MCDONALD JR. M.D.
NPI 1770902371
Family Medicine in Lafayette, LA

Active since April 10, 2014PECOS EnrolledAccepts Medicare Assignment
88.51/100
CMS Quality Rating
2390 W CONGRESS ST, LAFAYETTE, LA 70506(337) 261-6000 Get Directions Write a Review

NPPES record last updated: September 29, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Blake Mcdonald Jr. M.d. NPPES

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

DR. BLAKE MCDONALD JR. M.D. (NPI 1770902371) is an individual family medicine provider in Lafayette, Louisiana, licensed in Louisiana (306949) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Ochsner St Mary, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1770902371
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BLAKE MCDONALD JR.Credential: M.D.
Location Address2390 W CONGRESS STLafayette, LA 70506-4205
Mailing Address2390 W Congress StLafayette, LA 70506-4205 · (985) 637-7876
Phone(337) 261-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 10, 2014
Last NPPES UpdateSeptember 29, 2017
✔ NPI 1770902371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · 306949
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.
2390 W CONGRESS ST, Lafayette, LA 70506
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CHRISTUS Health Plan.Insurance ›

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

Dr. Blake Mcdonald Jr. 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 ID446524235
PECOS Enrollment IDI20170918001230
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

3

Medicare enrollment records show Blake Mcdonald reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eunice Emergency Group LLC
28 mi
Emergency Medicine
3501 HIGHWAY 190
Eunice, LA 70535
  • Reassigned Medicare billing, Louisiana enrollment
  • 76 clinicians in this Medicare group
NPI 1104895689 (337) 580-7900
Emergency Group Of St Landry LLC
36 mi
Emergency Medicine
800 E MAIN ST
Ville Platte, LA 70586
  • Reassigned Medicare billing, Louisiana enrollment
  • 67 clinicians in this Medicare group
NPI 1164491320 (318) 363-5684
St Mary Emergency Group LLC
62 mi
Emergency Medicine
1125 MARGUERITE ST
Morgan City, LA 70380
  • Reassigned Medicare billing, Louisiana enrollment
  • 95 clinicians in this Medicare group
NPI 1235108499 (985) 384-2200

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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
186 services174 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
172 services158 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
118 services112 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
69 services64 patients

Hospital Affiliations CMS Care Compare 2

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

Ochsner St Mary

Acute Care Hospitals · Morgan City, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190014
Location1125 Marguerite StreetMorgan City, LA 70380 · St. Mary County
Emergency services

Acadian Medical Center

Acute Care Hospitals · Eunice, LA
OwnershipProprietary
CMS Certification Number190318
Location3501 Highway 190 EastEunice, LA 70535 · St. Landry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70506 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

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.

88.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.86
Improvement Activities40

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.

ALICIA RUDDOCK ROURK RD, LDN
Dietitian, Registered
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Lafayette Parish (337) 261-6113
LEZETTE G. VIENNE FNP
Nurse Practitioner
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Lafayette Parish (337) 261-6000
DR. SHEUNG MAN ALEXANDER SIN M.D.
Family Medicine (Sports Medicine)
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Lafayette Parish (615) 322-5000
DR. RONALD TYLER HEBERT MD
Family Medicine
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Lafayette Parish (337) 261-6690
CELIA MARIE THIBODEAUX PT
Physical Therapist
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Lafayette Parish (337) 261-6700
CASSIE CLARK
Internal Medicine
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Lafayette Parish (337) 261-6000
MONA ANN HENRY
Pharmacy Technician
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Lafayette Parish (337) 261-6239
CHAD JOSEPH MATHEWS MD
Family Medicine
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Lafayette Parish (337) 288-8891

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 Blake Mcdonald's NPI number?

The NPI number for Blake Mcdonald is 1770902371. It was assigned to this individual provider in the NPPES registry on April 10, 2014.

Where is Blake Mcdonald located?

Blake Mcdonald practices at 2390 W Congress St, Lafayette, LA 70506. The listed phone number is (337) 261-6000.

What is Blake Mcdonald's specialty?

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

Is Blake Mcdonald enrolled in Medicare?

Yes. Blake Mcdonald 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 Blake Mcdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blake Mcdonald reassigns Medicare benefits to 3 organizations: Eunice Emergency Group LLC (Eunice, LA), Emergency Group Of St Landry LLC (Ville Platte, LA) and St Mary Emergency Group LLC (Morgan City, LA). 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 Blake Mcdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Blake Mcdonald accept?

Health plans from CHRISTUS Health Plan list Blake Mcdonald 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 Blake Mcdonald affiliated with any hospitals?

According to CMS data, Blake Mcdonald is affiliated with Ochsner St Mary and Acadian Medical Center.

When was this NPI record last updated?

The NPPES record for Blake Mcdonald was last updated on September 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.