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Active NPI 1962981084 Individual Practitioner Male Practitioner

Sal Blake , PA-C

Physician Assistant • Owensboro, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Sal Blake, PA-C is a certified Physician Assistant practicing in Owensboro, KY. With approximately 8 years of clinical experience since completing medical education in 2018, Sal Blake delivers high-quality medical care to the local community at 2211 MAYFAIR DR STE 102.

Sal Blake is affiliated with Deaconess Clinic Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2211 Mayfair Dr Ste 102

Owensboro, KY 42301

Telephone 2706881351
Fax 2706833420
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Owensboro, KY

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -3.3 yrs vs City Avg
City Avg: 11.3 Yrs
State Avg: 12.7 Yrs
Regional Practice Density
65 Specialists

Practicing in Owensboro, KY (1973 Statewide)

Telehealth Adoption Rate
4.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blake (8 Years) 8 Yrs
Owensboro Specialty Average (11.3 Years) 11.3 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
99284 Emergency department visit with moderate level of medical decision making
107 106 $315.00 $93.18
99285 Emergency department visit for life threatening or functioning severity
43 43 $469.00 $137.17
99283 Emergency department visit with low level of medical decision making
33 32 $212.00 $55.58

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License KY TC733

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7100552610 (KY)

Hospital & Practice Group Affiliations

Deaconess Clinic Inc

3150 Warrick Dr, Boonville, IN 476018602

Phone: 8128583355

Deaconess Clinic Inc

4011 Gateway Blvd, Newburgh, IN 476308947

Phone: 8124904570

Deaconess Clinic Inc

4011 Gateway Blvd, Newburgh, IN 476308947

Phone: 8128582100

Deaconess Clinic Inc

421 Chestnut St, Evansville, IN 477131227

Phone: 8124266645

Secondary Practice Locations

2801 Unifirst Dr

Owensboro, KY 423017701

Phone: 2707130478

Practice Associates & Co-Workers

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

3 Associated Practitioners
Kim Harley , APRN

Nurse Practitioner - Family

NPI 1003155029

Advanced Practice Registered Nurse

Dr. Austin Johnson , MD

Preventive Medicine - Occupational Medicine

NPI 1003558305

Doctor of Medicine (M.D.)

Daniel Best , APRN

Nurse Practitioner - Family

NPI 1568174654

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2018

Physician Assistant (License #TC733 in KY)

NPI Profile Active August 10, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2018

Registered at 2211 MAYFAIR DR STE 102, OWENSBORO, KY 42301 (Tel: 2706881351)

📍
Updated Business Mailing Address August 10, 2018

Registered at PO BOX 23229, OWENSBORO, KY 423043229 (Tel: 2706881330)

👤
Provider Name / Credentials Updated August 10, 2018

Recorded as SAL BLAKE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2018

Physician Assistant

🟢
Initial NPI Registration & Enumeration August 09, 2018

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: 1962981084
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2018
Last Update: May 14, 2019
Sole Proprietor: No

Mailing Address

Po Box 23229

Owensboro, KY 423043229

Phone: 2706881330

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.