BLAKE A SPAIN MD
NPI 1952416331
Internal Medicine - Pulmonary Disease in Concord, NC

Q: What is Blake Spain's NPI number?

The NPI number for Blake Spain is 1952416331. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Q: What is Blake Spain's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Blake Spain was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 19, 2006PECOS EnrolledAccepts Medicare Assignment

920 CHURCH ST N, CONCORD, NC 28025(704) 403-1331(704) 403-2533 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Blake A Spain Md NPPES

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

BLAKE A SPAIN MD (NPI 1952416331) is an individual pulmonary disease provider in Concord, North Carolina, licensed in North Carolina (9800704) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Brandon Hospital, and is a graduate of Indiana University School Of Medicine (1989).

NPPES Registry Identity

NPI1952416331

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameBLAKE A SPAINCredential: MD

Location Address920 CHURCH ST NConcord, NC 28025-2927

Mailing Address920 Church St NConcord, NC 28025-2927 · (704) 403-1331 · Fax (704) 403-2533

Phone(704) 403-1331

Fax(704) 403-2533

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 1989

Enumeration DateAugust 19, 2006

Last NPPES UpdateJanuary 24, 2022

✔ NPI 1952416331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in NC · 9800704

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 9800704 (NC)

920 CHURCH ST N, Concord, NC 28025

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Other Identifiers 5

Other9840261Cigna Healthcare

Other200322Medcost

Other1053HNC · Bcbs All Plans

Medicaid791053HNC

Other1281816United Healthcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.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

Blake A Spain 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 ID7214020429

PECOS Enrollment IDI20160415001395

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 2

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.

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.

111 services103 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

62 services52 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Brandon Hospital

Acute Care Hospitals · Brandon, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100243

Location119 Oakfield DrBrandon, FL 33511 · Hillsborough County

Emergency services Birthing friendly

Hca Florida South Shore Hospital

Acute Care Hospitals · Sun City Center, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100259

Location4016 Sun City Center BlvdSun City Center, FL 33573 · Hillsborough County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

67%214 patients3/55-star benchmark: 100%

Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections

Percentage of patients, regardless of age, who undergo central venous catheter (CVC) insertion for whom CVC was inserted with all elements of maximal sterile barrier technique, hand hygiene, skin preparation and, if ultrasound is used, sterile ultrasound…

100%34 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

LEONARD ALEXANDER STALLINGS MD

Emergency Medicine

920 CHURCH ST N
CONCORD, NC 28025

Cabarrus County (704) 403-1311

PATRICK TWUM-BARIMAH MD

Internal Medicine

920 CHURCH ST N, SUITE 255
CONCORD, NC 28025

Cabarrus County (704) 403-1331

SHIVANGI MANU PATEL PA

Physician Assistant

920 CHURCH ST N
CONCORD, NC 28025

Cabarrus County (704) 403-3664

TONY RAY HINSON MD

Internal Medicine

920 CHURCH ST N, SUITE 255
CONCORD, NC 28025

Cabarrus County (704) 403-1331

AISHWARYA PALWAI MD

Internal Medicine (Critical Care Medicine)

920 CHURCH ST N
CONCORD, NC 28025

Cabarrus County (704) 403-1311

MARLEE BODLE CRNA

Nurse Anesthetist, Certified Registered

920 CHURCH ST N
CONCORD, NC 28025

Cabarrus County (704) 403-1412

NATALIA KOHL BECKER PA

Physician Assistant

920 CHURCH ST N
CONCORD, NC 28025

Cabarrus County (952) 237-6564

CABARRUS MEMORIAL HOSPITAL

Home Health

920 CHURCH ST N
CONCORD, NC 28025

Cabarrus County (704) 783-3000

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 Spain's NPI number?

The NPI number for Blake Spain is 1952416331. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Blake Spain located?

Blake Spain practices at 920 Church St N, Concord, NC 28025. The listed phone number is (704) 403-1331.

What is Blake Spain's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Blake Spain enrolled in Medicare?

Yes. Blake Spain 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 Blake Spain accept?

Health plans from Oscar Health Maintenance Organization of Florida list Blake Spain 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 Spain affiliated with any hospitals?

According to CMS data, Blake Spain is affiliated with Hca Florida Brandon Hospital and Hca Florida South Shore Hospital.

When was this NPI record last updated?

The NPPES record for Blake Spain was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.