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JEFFREY D. BLAKE M.D.
NPI 1992792980
Obstetrics & Gynecology in Gardner, MA

Active since October 04, 2005PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
250 GREEN ST, GARDNER, MA 01440(978) 630-5050(978) 630-5059 Get Directions Write a Review

NPPES record last updated: June 20, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeffrey D. Blake M.d. NPPES

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

JEFFREY D. BLAKE M.D. (NPI 1992792980) is an individual obstetrics & gynecology provider in Gardner, Massachusetts, licensed in Massachusetts (78308) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Heywood Hospital, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1992792980
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJEFFREY D. BLAKECredential: M.D.
Location Address250 GREEN STGardner, MA 01440-1396
Mailing Address250 Green StGardner, MA 01440-1396 · (978) 630-5050 · Fax (978) 630-5059
Phone(978) 630-5050
Fax(978) 630-5059
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateOctober 4, 2005
Last NPPES UpdateJune 20, 2011
✔ NPI 1992792980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MA · 78308
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
250 GREEN ST, Gardner, MA 01440
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Other Identifiers 3

Medicare UPINF74928
Medicare ID-Type UnspecifiedJ12461MA
Medicaid3118223MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Jeffrey D. Blake 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 ID2769421106
PECOS Enrollment IDI20050426000858
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.

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.
77 services36 patients
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.
22 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Heywood Hospital

Acute Care Hospitals · Gardner, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220095
Location242 Green StreetGardner, MA 01440 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01440 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
70%223 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
90%1,232 patients
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%628 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%268 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
33%1,868 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
33%1,198 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 98% · 1,267 patients
Patients tobacco: 7% · 115 patients
82%1,267 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,868 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
48%1,868 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
45%1,868 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.

MICHELE C. PARKER M.D.
Family Medicine
250 GREEN ST
GARDNER, MA 01440
Worcester County (978) 669-0199
BARBARA J. WALKER RNNP
Nurse Practitioner
250 GREEN ST
GARDNER, MA 01440
Worcester County (978) 632-6445
AYAZ TARIQ MALIK M.D.
Internal Medicine (Gastroenterology)
250 GREEN ST, STE 212
GARDNER, MA 01440
Worcester County (978) 669-5522
JOHN M. SKRZYPCZAK M.D.
Emergency Medicine
250 GREEN ST
GARDNER, MA 01440
Worcester County (978) 630-6280
MELISSA KRISTEN CAPOTOSTO NP
Nurse Practitioner (Women's Health)
250 GREEN ST, SUITE 200
GARDNER, MA 01440
Worcester County (978) 632-6880
ERIN KATE DOOLEY MD/MPH
Family Medicine
250 GREEN ST
GARDNER, MA 01440
Worcester County (978) 630-6330
MERCY FAMILY PRACTICE PC
Family Medicine
250 GREEN ST, SUITE 200
GARDNER, MA 01440
Worcester County (978) 632-6445
JOHN WORDEN M.D.
Family Medicine
250 GREEN ST
GARDNER, MA 01440
Worcester County (978) 630-6445

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 Jeffrey Blake's NPI number?

The NPI number for Jeffrey Blake is 1992792980. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Where is Jeffrey Blake located?

Jeffrey Blake practices at 250 Green St, Gardner, MA 01440. The listed phone number is (978) 630-5050.

What is Jeffrey Blake's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jeffrey Blake enrolled in Medicare?

Yes. Jeffrey 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 Jeffrey Blake accept?

Health plans from Anthem Blue Cross and Blue Shield list Jeffrey 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.

Is Jeffrey Blake affiliated with any hospitals?

According to CMS data, Jeffrey Blake is affiliated with Heywood Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Blake was last updated on June 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.