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Active NPI 1558330415 Individual Practitioner Male Practitioner

Dr. Thomas Harold Blake , MD

Orthopaedic Surgery • Laurel, MS

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Blake, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Laurel, MS. Practice services are available at 424 S 13TH AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, injection, triamcinolone acetonide, not otherwise specified, 10 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

424 S 13th Ave

Laurel, MS 394404345

Telephone 6013996167
Fax 6013996281
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Laurel, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.3 Yrs
State Avg: 26.6 Yrs
Regional Practice Density
7 Specialists

Practicing in Laurel, MS (216 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
17.6% 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 (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
19 14 $80.00 $66.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
11 11 $120.00 $98.60

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MS 07473

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00015289 (MS)

Practice Associates & Co-Workers

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

12 Associated Practitioners
NPI 1083657787

Doctor of Medicine (M.D.)

Dr. Mona Pernia , MD

Family Medicine

NPI 1114157062

Doctor of Medicine (M.D.)

Gregory Parker , NP

Nurse Practitioner - Family

NPI 1255343570

Nurse Practitioner

NPI 1265630842

Doctor of Medicine (M.D.)

Dr. Thomas Bailey , MD

Emergency Medicine

NPI 1417118548

Doctor of Medicine (M.D.)

Nick Deniakos , CRNA

Nurse Anesthetist, Certified Registered

NPI 1427098565

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 13, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 13, 2014

Registered at 424 S 13TH AVE, LAUREL, MS 394404345 (Tel: 6013996167)

📍
Updated Business Mailing Address February 13, 2014

Registered at 424 SOUTH 12TH AVE, LAUREL, MS 39440 (Tel: 6013996167)

👤
Provider Name / Credentials Updated February 13, 2014

Recorded as THOMAS BLAKE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2014

Orthopaedic Surgery (License #07473 in MS)

🟢
Initial NPI Registration & Enumeration March 14, 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: 1558330415
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2006
Last Update: February 13, 2014
Sole Proprietor: No

Mailing Address

424 South 12th Ave

Laurel, MS 39440

Phone: 6013996167

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.