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Active NPI 1780772749 Individual Practitioner Male Practitioner

Robert F Blake , MMS, PA-C

Physician Assistant - Surgical • Wellington, FL

Professional Overview & Biography Verified Profile Summary

Robert Blake, MMS, PA-C is a registered healthcare professional specializing in Physician Assistant - Surgical in Wellington, FL. Practice services are available at 1447 MEDICAL PARK BLVD under active NPI credentials.

Frequently performed procedures and clinical services include partial removal of spine bone with release of spinal cord and/or nerves, partial removal of middle spine bone with release of spinal cord and/or nerves, harvest of bone fragment for spine bone graft. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1447 Medical Park Blvd
Suite #101

Wellington, FL 334143164

Telephone 5618440120
Fax 5618001074
Associated Practice Facility / Clinic
🏢 Advent Family Practice, Inc Facility NPI 1982654299

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Wellington, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.7 Yrs
State Avg: 15.3 Yrs
Regional Practice Density
6 Specialists

Practicing in Wellington, FL (1463 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
92.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
63048 Partial removal of spine bone with release of spinal cord and/or nerves
19 14 $379.84 $33.09
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves
14 14 $1937.00 $128.82
20937 Harvest of bone fragment for spine bone graft
12 12 $294.00 $25.94

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License FL PA9103551

Definition to come...

Practice Associates & Co-Workers

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

1 Associated Practitioners
Emily Carr , PA

Physician Assistant - Surgical

NPI 1164932257

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 22, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 22, 2012

Registered at 1447 MEDICAL PARK BLVD, SUITE #101, WELLINGTON, FL 334143164 (Tel: 5618440120)

📍
Updated Business Mailing Address February 22, 2012

Registered at 1447 MEDICAL PARK BLVD, SUITE #101, WELLINGTON, FL 334143164 (Tel: 5618440120)

👤
Provider Name / Credentials Updated February 22, 2012

Recorded as ROBERT BLAKE, MMS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2012

Physician Assistant (License #PA9103551 in FL)

🟢
Initial NPI Registration & Enumeration October 11, 2006

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: 1780772749
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2006
Last Update: February 22, 2012
Sole Proprietor: Yes

Mailing Address

1447 Medical Park Blvd, Suite #101

Wellington, FL 334143164

Phone: 5618440120

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.