Active NPI 1780726570 Individual Practitioner Male Practitioner

John A Blake , PA-C

Physician Assistant • Shallotte, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

John Blake, PA-C is a certified Physician Assistant practicing in Shallotte, NC. With approximately 25 years of clinical experience since completing medical education in 2001, John Blake delivers high-quality medical care to the local community at 712 VILLAGE RD SW STE 104.

John Blake is affiliated with Columbus Family Medical Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, chronic care management services, first, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

712 Village Rd Sw Ste 104

Shallotte, NC 284703449

Telephone 9107547607

Fax 9107547608

Associated Practice Facility / Clinic

🏢 Columbus Family Medical Pa Facility NPI 1114028859

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Shallotte, NC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +13.1 yrs vs City Avg

City Avg: 11.9 Yrs

State Avg: 13.1 Yrs

Regional Practice Density

17 Specialists

Practicing in Shallotte, NC (9374 Statewide)

Telehealth Adoption Rate

11.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blake (25 Years) 25 Yrs

Shallotte Specialty Average (11.9 Years) 11.9 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
99213 Established patient office or other outpatient visit, typically 15 minutes	198	80	$146.00	$71.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	178	68	$250.00	$101.97
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	112	22	$100.00	$49.99
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	88	20	$25.00	$11.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	57	57	$200.00	$103.18
80305 Testing for presence of drug, read by direct observation	49	21	$47.14	$12.35
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	46	18	$25.00	$11.62
G0444 Annual depression screening, 5 to 15 minutes	46	46	$30.00	$14.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	14	$75.00	$44.70
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	37	17	$100.00	$38.16
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	15	15	$59.26	$49.71
90658 Influenza vaccine, trivalent, 0.5 ml dosage	12	12	$32.00	$21.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	57	$250.00	$103.16
99213 Established patient office or other outpatient visit, typically 15 minutes	86	46	$135.25	$70.05
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	62	16	$25.00	$11.38
80305 Testing for presence of drug, read by direct observation	53	21	$44.72	$12.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	27	27	$200.00	$103.81
83036 Hemoglobin A1C level	27	22	$20.00	$9.52
G0444 Annual depression screening, 5 to 15 minutes	26	26	$30.00	$14.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	13	$300.00	$144.79
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	12	$45.00	$18.57
G0008 Administration of influenza virus vaccine	11	11	$25.00	$24.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	298	71	$129.65	$105.07
80305 Testing for presence of drug, read by direct observation	126	29	$45.00	$12.43
99213 Established patient office or other outpatient visit, typically 15 minutes	111	57	$94.99	$73.63
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	79	23	$25.00	$11.68
83036 Hemoglobin A1C level	73	34	$17.40	$9.59
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	60	14	$30.00	$12.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	29	$220.00	$148.17
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	41	36	$80.00	$18.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	36	36	$200.00	$106.72
G0444 Annual depression screening, 5 to 15 minutes	24	24	$30.00	$14.88
90756 Vaccine for influenza for injection into muscle	18	18	$30.00	$29.40
90471 Administration of 1 vaccine	17	17	$20.00	$13.49
J1040 Injection, methylprednisolone acetate, 80 mg	14	11	$15.00	$11.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	311	81	$126.45	$106.84
99213 Established patient office or other outpatient visit, typically 15 minutes	186	78	$90.98	$73.03
83036 Hemoglobin A1C level	96	53	$15.00	$9.71
80305 Testing for presence of drug, read by direct observation	68	30	$45.00	$12.60
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	54	17	$25.00	$11.62
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	42	17	$28.93	$12.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	40	40	$200.00	$109.10
G0444 Annual depression screening, 5 to 15 minutes	39	39	$30.00	$15.22
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	26	26	$80.00	$18.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	19	$216.67	$149.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$89.00	$45.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	385	93	$120.81	$89.65
99213 Established patient office or other outpatient visit, typically 15 minutes	291	101	$95.04	$59.04
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	104	42	$25.00	$11.67
36415 Insertion of needle into vein for collection of blood sample	80	65	$6.58	$2.96
83036 Hemoglobin A1C level	65	37	$15.00	$9.65
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	39	15	$8.00	$2.08
G0444 Annual depression screening, 5 to 15 minutes	31	31	$30.00	$14.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$200.00	$95.21
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	26	17	$25.77	$12.54
J1040 Injection, methylprednisolone acetate, 80 mg	24	18	$15.00	$11.70
G0008 Administration of influenza virus vaccine	19	19	$25.00	$16.09
90756 Vaccine for influenza for injection into muscle	16	16	$30.00	$27.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	571	138	$129.95	$89.42
36415 Insertion of needle into vein for collection of blood sample	229	122	$12.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	229	113	$95.96	$60.82
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	112	54	$25.00	$13.64
83036 Hemoglobin A1C level	95	51	$15.00	$10.57
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	32	21	$30.00	$12.28
J1040 Injection, methylprednisolone acetate, 80 mg	29	22	$15.00	$12.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	20	$200.00	$95.48
G0444 Annual depression screening, 5 to 15 minutes	18	18	$30.00	$14.77
G0008 Administration of influenza virus vaccine	14	14	$20.00	$15.79
90756 Vaccine for influenza for injection into muscle	12	12	$30.00	$26.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	756	184	$129.94	$85.41
36415 Insertion of needle into vein for collection of blood sample	243	123	$12.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	199	109	$98.82	$57.96
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	150	59	$25.00	$16.12
J1885 Injection, ketorolac tromethamine, per 15 mg	68	15	$20.00	$0.56
J1040 Injection, methylprednisolone acetate, 80 mg	39	31	$15.00	$13.02
G0008 Administration of influenza virus vaccine	39	39	$20.00	$19.38
83036 Hemoglobin A1C level	38	38	$15.00	$11.75
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	29	14	$8.00	$1.90
82962 Blood glucose (sugar) test performed by hand-held instrument	23	16	$18.00	$3.21
69210 Removal of impacted ear wax	19	19	$49.00	$38.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$170.00	$131.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$120.00	$85.86
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$200.00	$91.98
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$115.00	$59.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	779	176	$130.00	$85.65
36415 Insertion of needle into vein for collection of blood sample	246	130	$12.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	216	99	$100.00	$58.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	118	37	$25.00	$20.03
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	44	44	$34.55	$17.28
G0008 Administration of influenza virus vaccine	43	43	$20.00	$19.60
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	33	25	$30.00	$11.55
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	31	23	$31.61	$22.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$170.00	$130.93
J1040 Injection, methylprednisolone acetate, 80 mg	18	16	$15.00	$11.69
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$188.57	$91.91

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NC 103290NC

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.

Hospital & Practice Group Affiliations

Columbus Family Medical Pa

712 Village Rd, Shallotte, NC 284703449

Phone: 9107547607

Columbus Family Medical Pa

9869 Ocean Hwy W, Calabash, NC 284672636

Phone: 9105750281

Columbus Family Medical Pa

712 Village Rd Sw, Shallotte, NC 284703449

Phone: 9107547607

Practice Associates & Co-Workers

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

1 Associated Practitioners

Kathleen Murphy , PA-C

Physician Assistant - Medical

NPI 1386778363

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location June 03, 2019

Registered at 712 VILLAGE RD SW STE 104, SHALLOTTE, NC 284703449 (Tel: 9107547607)

📍

Updated Business Mailing Address February 14, 2019

Registered at 712 VILLAGE RD SW STE 104, SHALLOTTE, NC 284703449 (Tel: 9107547607)

✅

NPI Profile Active August 13, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location August 13, 2014

Registered at 204 SMITH AVE, SHALLOTTE, NC 284704458 (Tel: 9107547607)

📍

Updated Business Mailing Address August 13, 2014

Registered at 204 SMITH AVE, SHALLOTTE, NC 284704458 (Tel: 9107547607)

👤

Provider Name / Credentials Updated August 13, 2014

Recorded as JOHN BLAKE, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2014

Physician Assistant (License #103290NC in NC)

🟢

Initial NPI Registration & Enumeration February 12, 2007

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: 1780726570

Entity Type:

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

Enumeration Date: February 12, 2007

Last Update: June 03, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

712 Village Rd Sw Ste 104

Shallotte, NC 284703449

Phone: 9107547607

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.