SAL BLAKE PA-C
NPI 1962981084
Physician Assistant in Owensboro, KY

Active since August 09, 2018PECOS EnrolledAccepts Medicare Assignment
2211 MAYFAIR DR STE 102, OWENSBORO, KY 42301(270) 688-1351(270) 683-3420 Get Directions Write a Review

NPPES record last updated: May 14, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 14, 2019, Dec 3, 2018, Aug 20, 2018 and 1 more (4 updates tracked since 2018).

About Sal Blake Pa-c NPPES

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

SAL BLAKE PA-C (NPI 1962981084) is an individual physician assistant in Owensboro, Kentucky, licensed in Kentucky (TC733) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Owensboro, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1962981084
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSAL BLAKECredential: PA-C
Location Address2211 MAYFAIR DR STE 102Owensboro, KY 42301
Mailing AddressPo Box 23229Owensboro, KY 42304-3229 · (270) 688-1330 · Fax (270) 688-1338
Fax(270) 683-3420
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 9, 2018
Last NPPES UpdateMay 14, 20194 updates tracked since enumeration
NPI 1962981084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in KY · TC733
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2211 MAYFAIR DR STE 102, Owensboro, KY 42301

Secondary Practice Location 1

Location 12801 Unifirst DrOwensboro, KY 42301-7701 · Phone (270) 713-0478 · Fax (270) 713-0479

Other Identifiers 1

Medicaid7100552610KY

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

Sal 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 ID1153671714
PECOS Enrollment IDI20210929000892
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 3

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 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.
107 services106 patients
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.
43 services43 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
33 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42301 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES 4

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

Physician Assistant
2211 MAYFAIR DR STE 102
OWENSBORO, KY 42301
Nurse Practitioner (Family)
2211 MAYFAIR DR STE 102
OWENSBORO, KY 42301
Nurse Practitioner (Family)
2211 MAYFAIR DR STE 102
OWENSBORO, KY 42301
Preventive Medicine (Occupational Medicine)
2211 MAYFAIR DR STE 102
OWENSBORO, KY 42301

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 Sal Blake's NPI number?

The NPI number for Sal Blake is 1962981084. It was assigned to this individual provider in the NPPES registry on August 9, 2018.

Where is Sal Blake located?

Sal Blake practices at 2211 Mayfair Dr Ste 102, Owensboro, KY 42301. The listed phone number is (270) 688-1351.

What is Sal Blake's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sal Blake enrolled in Medicare?

Yes. Sal 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 Sal Blake accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Sal 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 Sal Blake was last updated on May 14, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.