Active NPI 1871817312 Individual Practitioner Male Practitioner

Dr. Patrick W Blake , MD

Dermatology • San Diego, CA

✓ Accepts Medicare Assignment Telehealth Available

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Patrick Blake, MD is a registered Dermatology practitioner in San Diego, CA. With approximately 16 years of clinical practice since graduating from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2010, Dr. Blake provides healthcare services at the registered practice location at 501 WASHINGTON ST.

Dr. Blake is affiliated with Medderm Corporation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

501 Washington St
Suite 502

San Diego, CA 921032231

Telephone 6195420013

Associated Practice Facility / Clinic

🏢 Daniel J. Bressler, M.d., Inc. Facility NPI 1194726117

Medicare Profile & Education

Medical School

Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in San Diego, CA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -3.2 yrs vs City Avg

City Avg: 19.2 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

158 Specialists

Practicing in San Diego, CA (2182 Statewide)

Telehealth Adoption Rate

12.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

46.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blake (16 Years) 16 Yrs

San Diego Specialty Average (19.2 Years) 19.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	537	107	$14.72	$8.04
99213 Established patient office or other outpatient visit, typically 15 minutes	248	162	$142.08	$103.06
17000 Destruction of skin growth	185	130	$165.78	$64.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	88	$210.56	$143.38
17110 Destruction of up to 14 skin growths	75	61	$260.00	$132.70
11102 Tangential biopsy of single skin lesion	51	47	$216.00	$107.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	34	15	$2.29	$0.99
11103 Biopsy of related skin growth, each additional growth	27	20	$120.00	$59.65
11900 Injection into skin growth, 1-7 growths	20	11	$114.68	$57.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$210.92	$125.15
17004 Destruction of precancer skin growth, 15 or more growths	16	12	$353.10	$197.38
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	12	12	$1382.58	$699.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$322.80	$188.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	441	86	$14.72	$7.66
99213 Established patient office or other outpatient visit, typically 15 minutes	250	151	$142.08	$96.81
17000 Destruction of skin growth	154	108	$165.78	$56.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	79	$210.56	$136.21
17110 Destruction of up to 14 skin growths	77	57	$260.00	$127.39
11102 Tangential biopsy of single skin lesion	57	46	$216.00	$95.90
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	43	12	$2.29	$1.05
11103 Biopsy of related skin growth, each additional growth	27	18	$120.00	$56.62
17004 Destruction of precancer skin growth, 15 or more growths	17	12	$353.10	$189.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	498	90	$14.72	$7.78
99213 Established patient office or other outpatient visit, typically 15 minutes	219	142	$142.08	$97.99
17000 Destruction of skin growth	150	110	$165.78	$58.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	73	$210.56	$138.11
17110 Destruction of up to 14 skin growths	76	57	$260.00	$122.57
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	52	11	$2.29	$1.15
11102 Tangential biopsy of single skin lesion	34	33	$216.00	$106.96
17004 Destruction of precancer skin growth, 15 or more growths	29	18	$353.10	$190.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	822	137	$14.72	$7.44
99213 Established patient office or other outpatient visit, typically 15 minutes	261	187	$142.08	$98.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	238	162	$210.56	$139.38
17000 Destruction of skin growth	225	155	$165.78	$56.61
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	195	11	$161.80	$139.46
17110 Destruction of up to 14 skin growths	102	81	$260.00	$122.91
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	68	19	$2.29	$1.26
11102 Tangential biopsy of single skin lesion	56	50	$216.00	$104.66
11900 Injection into skin growth, 1-7 growths	48	20	$114.68	$46.59
17004 Destruction of precancer skin growth, 15 or more growths	47	35	$353.10	$186.11
11104 Punch biopsy, first skin growth	39	36	$270.00	$145.88
J9190 Injection, fluorouracil, 500 mg	33	16	$3.80	$1.73
96405 Administration of chemotherapy into growth, 1-7	32	15	$182.06	$85.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$322.80	$180.34
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	19	14	$1382.58	$656.15
11103 Biopsy of related skin growth, each additional growth	17	13	$120.00	$59.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$210.92	$121.34
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	12	$626.86	$333.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	2,800	12	$2.41	$1.47
17003 Destruction of precancer skin growth, 2-14 growths	709	119	$14.72	$6.76
99213 Established patient office or other outpatient visit, typically 15 minutes	361	218	$142.08	$79.74
17000 Destruction of skin growth	201	144	$165.78	$53.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	112	$210.56	$116.50
17110 Destruction of up to 14 skin growths	118	92	$260.00	$117.94
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	78	26	$2.29	$1.45
11102 Tangential biopsy of single skin lesion	66	58	$216.00	$100.45
17004 Destruction of precancer skin growth, 15 or more growths	52	36	$353.10	$174.78
11900 Injection into skin growth, 1-7 growths	50	29	$114.68	$44.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$210.92	$114.79
11104 Punch biopsy, first skin growth	36	35	$270.00	$132.23
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	30	26	$1382.58	$672.27
11103 Biopsy of related skin growth, each additional growth	25	16	$120.00	$58.87
J9190 Injection, fluorouracil, 500 mg	17	12	$3.80	$1.58
96574 Application of light with debridement to destroy precancer skin growth	14	12	$351.85	$302.52
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	14	11	$829.08	$441.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	3,600	17	$1.76	$1.39
17003 Destruction of precancer skin growth, 2-14 growths	834	135	$14.72	$6.00
99213 Established patient office or other outpatient visit, typically 15 minutes	418	234	$142.08	$78.29
17000 Destruction of skin growth	229	162	$165.78	$53.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	211	132	$210.56	$114.37
17110 Destruction of up to 14 skin growths	115	89	$260.00	$114.68
11102 Tangential biopsy of single skin lesion	88	77	$216.00	$94.19
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	73	29	$2.29	$1.59
17004 Destruction of precancer skin growth, 15 or more growths	59	44	$353.10	$162.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$210.92	$113.51
11104 Punch biopsy, first skin growth	44	41	$270.00	$129.86
11900 Injection into skin growth, 1-7 growths	42	27	$114.68	$39.99
11103 Biopsy of related skin growth, each additional growth	28	21	$120.00	$57.53
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	25	22	$1382.58	$627.18
96574 Application of light with debridement to destroy precancer skin growth	18	17	$351.85	$282.64
11105 Punch biopsy, each additional skin growth	16	12	$138.00	$65.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	909	141	$14.72	$5.55
99213 Established patient office or other outpatient visit, typically 15 minutes	457	249	$142.08	$76.46
17000 Destruction of skin growth	239	172	$165.78	$53.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	165	111	$210.56	$112.74
11100 Biopsy of single growth of skin and/or tissue	150	124	$213.10	$94.35
17110 Destruction of up to 14 skin growths	141	112	$260.00	$116.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$210.92	$112.58
17004 Destruction of precancer skin growth, 15 or more growths	69	50	$353.10	$150.82
11101 Biopsy of each additional growth of skin and/or tissue	43	35	$66.78	$34.01
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	39	22	$2.29	$1.79
11900 Injection into skin growth, 1-7 growths	37	23	$114.68	$39.56
17111 Destruction of skin growth, 15 or more growths	27	17	$280.00	$136.48
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	26	21	$1382.58	$619.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,169	215	$13.58	$5.79
99213 Established patient office or other outpatient visit, typically 15 minutes	454	278	$135.70	$75.48
17000 Destruction of skin growth	326	252	$149.14	$50.14
11100 Biopsy of single growth of skin and/or tissue	257	221	$188.70	$94.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	192	167	$182.32	$109.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	161	161	$197.03	$110.34
17110 Destruction of up to 14 skin growths	159	139	$237.60	$111.14
11101 Biopsy of each additional growth of skin and/or tissue	112	70	$58.56	$33.40
17004 Destruction of precancer skin growth, 15 or more growths	80	68	$304.35	$154.48
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	79	30	$2.44	$1.82
11900 Injection into skin growth, 1-7 growths	48	29	$112.82	$44.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	28	$67.76	$44.10
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	22	20	$294.20	$158.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$190.12	$144.25
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$105.72	$75.06
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$376.91	$125.81

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License CA A130951

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License TX P3510

Hospital & Practice Group Affiliations

Medderm Corporation

3965 5th Ave, San Diego, CA 921033107

Phone: 6195420013

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Michelle Pelle , MD

Dermatology

NPI 1043252786

Doctor of Medicine (M.D.)

Dr. Michael Lee , MD

Dermatology

NPI 1255607685

Doctor of Medicine (M.D.)

Daniell Pollack , PA-C

Physician Assistant - Medical

NPI 1376797795

Physician Assistant (Certified)

Dr. Katrina Woodhall , MD

Dermatology

NPI 1639104383

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active January 18, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 18, 2017

Registered at 501 WASHINGTON ST, SUITE 502, SAN DIEGO, CA 921032231 (Tel: 6195420013)

📍

Updated Business Mailing Address January 18, 2017

Registered at 501 WASHINGTON ST, SUITE 502, SAN DIEGO, CA 921032231 (Tel: 6195420013)

👤

Provider Name / Credentials Updated January 18, 2017

Recorded as PATRICK BLAKE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2017

Dermatology (License #P3510 in TX)

✅

NPI Profile Active March 03, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 03, 2016

Registered at 320 SANTA FE DR, SUITE 310, ENCINITAS, CA 920245138 (Tel: 7602681641)

📍

Updated Business Mailing Address March 03, 2016

Registered at 320 SANTA FE DR, SUITE 310, ENCINITAS, CA 920245138 (Tel: 7602681641)

👤

Provider Name / Credentials Updated March 03, 2016

Recorded as PATRICK BLAKE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2016

Dermatology (License #A130951 in CA)

🟢

Initial NPI Registration & Enumeration March 25, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871817312

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 25, 2010

Last Update: January 18, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

501 Washington St, Suite 502

San Diego, CA 921032231

Phone: 6195420013

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.