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BLAKE ROBERT SMITH MD
NPI 1780927269
Otolaryngology in Duluth, GA

Active since April 03, 2013PECOS EnrolledAccepts Medicare Assignment
3650 STEVE REYNOLDS BLVD DEPT OF, DULUTH, GA 30096(404) 365-0966 Get Directions Write a Review

NPPES record last updated: January 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blake Robert Smith Md NPPES

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

BLAKE ROBERT SMITH MD (NPI 1780927269) is an individual otolaryngology provider in Duluth, Georgia, licensed in Georgia (079904) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cleveland, and is a graduate of Medical College Of Georgia School Of Medicine (2013).

NPPES Registry Identity

NPI1780927269
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameBLAKE ROBERT SMITHCredential: MD
Location Address3650 STEVE REYNOLDS BLVD DEPT OFDuluth, GA 30096-4506
Mailing Address9500 Euclid Ave, Head And Neck Institute, Cleveland ClinicCleveland, OH 44195-0001 · (216) 444-4949 · Fax (216) 636-1548
Phone(404) 365-0966
Sole ProprietorYes
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2013
Enumeration DateApril 3, 2013
Last NPPES UpdateJanuary 17, 2019
✔ NPI 1780927269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in GA · 079904
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3650 STEVE REYNOLDS BLVD DEPT OF, Duluth, GA 30096
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Secondary Practice Location 1

Location 19500 Euclid Ave, Head and Neck Institute, Cleveland ClinicCleveland, OH 44195-0001 · Phone (216) 444-4949 · Fax (216) 636-1548

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

Blake Robert Smith 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 ID840543146
PECOS Enrollment IDI20181105000307
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 30096 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

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 Smith's NPI number?

The NPI number for Blake Smith is 1780927269. It was assigned to this individual provider in the NPPES registry on April 3, 2013.

Where is Blake Smith located?

Blake Smith practices at 3650 Steve Reynolds Blvd Dept Of, Duluth, GA 30096. The listed phone number is (404) 365-0966.

What is Blake Smith's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Blake Smith enrolled in Medicare?

Yes. Blake Smith 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.

When was this NPI record last updated?

The NPPES record for Blake Smith was last updated on January 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.