Active NPI 1619284742 Individual Practitioner Male Practitioner

Jay L Blake , NP

Nurse Practitioner • Eugene, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jay Blake, NP is a certified Nurse Practitioner practicing in Eugene, OR. With approximately 12 years of clinical experience since completing medical education in 2014, Jay Blake delivers high-quality medical care to the local community at 920 COUNTRY CLUB RD STE 140A.

Jay Blake maintains professional affiliations with Medderm Corporation, Silver Falls Dermatology Llc and accepts Medicare assignment.

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

920 Country Club Rd Ste 140a

Eugene, OR 974016024

Telephone 9719158585

Fax 5033628435

Associated Practice Facility / Clinic

🏢 Silver Falls Dermatology, Llc Facility NPI 1134375421

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Eugene, OR

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs +0.5 yrs vs City Avg

City Avg: 11.5 Yrs

State Avg: 11.1 Yrs

Regional Practice Density

32 Specialists

Practicing in Eugene, OR (615 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blake (12 Years) 12 Yrs

Eugene Specialty Average (11.5 Years) 11.5 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	483	92	$14.72	$6.84
99213 Established patient office or other outpatient visit, typically 15 minutes	292	206	$142.08	$87.58
17000 Destruction of skin growth	158	120	$165.78	$47.45
11102 Tangential biopsy of single skin lesion	129	117	$216.00	$87.84
17110 Destruction of up to 14 skin growths	91	77	$260.00	$115.19
11103 Biopsy of related skin growth, each additional growth	49	30	$120.00	$50.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$210.92	$106.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$210.56	$122.62
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	20	15	$355.48	$155.68
11900 Injection into skin growth, 1-7 growths	19	12	$114.68	$48.22
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	19	12	$2.29	$0.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	343	68	$14.72	$6.51
99213 Established patient office or other outpatient visit, typically 15 minutes	248	168	$142.08	$82.48
17000 Destruction of skin growth	134	101	$165.78	$44.38
11102 Tangential biopsy of single skin lesion	88	70	$216.00	$88.43
17110 Destruction of up to 14 skin growths	71	58	$260.00	$107.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	32	$210.56	$116.50
11103 Biopsy of related skin growth, each additional growth	30	18	$120.00	$48.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$210.92	$101.95
11104 Punch biopsy, first skin growth	12	11	$270.00	$120.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	219	40	$14.72	$6.62
99213 Established patient office or other outpatient visit, typically 15 minutes	103	83	$142.08	$83.68
17000 Destruction of skin growth	66	54	$165.78	$46.51
11102 Tangential biopsy of single skin lesion	54	52	$216.00	$84.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	44	$210.56	$114.23
17110 Destruction of up to 14 skin growths	46	40	$260.00	$106.64
11103 Biopsy of related skin growth, each additional growth	15	13	$120.00	$49.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$210.92	$102.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	79	17	$14.72	$6.32
99213 Established patient office or other outpatient visit, typically 15 minutes	34	32	$142.08	$84.18
17000 Destruction of skin growth	29	23	$165.78	$42.20
11102 Tangential biopsy of single skin lesion	25	23	$216.00	$88.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$210.56	$117.81
17110 Destruction of up to 14 skin growths	16	14	$260.00	$109.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	66	25	$7.41	$5.13
17000 Destruction of skin growth	40	36	$86.17	$46.84
17110 Destruction of up to 14 skin growths	19	19	$147.66	$99.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$142.10	$97.45
99336 Established patient assisted living visit, typically 40 minutes	14	13	$174.91	$119.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$140.89	$96.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	44	13	$25.00	$5.12
17000 Destruction of skin growth	20	19	$200.00	$54.57
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$185.00	$69.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$115.00	$42.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$275.00	$101.47
11100 Biopsy of single growth of skin and/or tissue	11	11	$260.00	$98.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	477	112	$25.00	$5.28
17000 Destruction of skin growth	222	153	$200.00	$50.02
11100 Biopsy of single growth of skin and/or tissue	211	186	$260.00	$93.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	182	158	$275.00	$98.73
99213 Established patient office or other outpatient visit, typically 15 minutes	127	113	$185.00	$66.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	124	103	$115.00	$40.80
11101 Biopsy of each additional growth of skin and/or tissue	90	63	$80.00	$30.30
17110 Destruction of up to 14 skin growths	63	55	$280.00	$105.81
99202 New patient office or other outpatient visit, typically 20 minutes	58	58	$200.00	$69.47
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	25	24	$765.00	$288.44
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	25	22	$625.00	$117.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$275.00	$99.72

Medical Specialties & State Licenses

CMS Verified: 2026-06-10

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OR 10042189

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Medderm Corporation

3965 5th Ave, San Diego, CA 921033107

Phone: 6195420013

Silver Falls Dermatology Llc

920 Country Club Rd, Eugene, OR 974016024

Phone: 8665993376

Secondary Practice Locations

1010 Sw Coast Hwy Ste 201

Newport, OR 973655240

Phone: 8665993376

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Lauren Boudreaux , DO

Dermatology

NPI 1003235706

Doctor of Osteopathic Medicine (D.O.)

Deborah Jones , FNP-C

Nurse Practitioner - Family

NPI 1063763472

Family Nurse Practitioner (Certified)

Megan Smith , PA-C

Physician Assistant - Medical

NPI 1093263386

Physician Assistant (Certified)

Dr. Rick Pittman , MD

Surgery - Vascular Surgery

NPI 1104990175

Doctor of Medicine (M.D.)

Kathleen Stewart , PA-C

Physician Assistant - Medical

NPI 1114110947

Physician Assistant (Certified)

Dr. Russell Young , MD

Dermatology

NPI 1144285529

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location June 10, 2026

Registered at 920 COUNTRY CLUB RD STE 140A, EUGENE, OR 974016024 (Tel: 9719158585)

📍

Updated Business Mailing Address June 10, 2026

Registered at 1793 13TH ST SE, SALEM, OR 973022541 (Tel: 5033628385)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2026

Nurse Practitioner (License #10042189 in OR)

📍

Updated Practice Location August 07, 2023

Registered at 3965 FIFTH AVE STE 200, SAN DIEGO, CA 921033107 (Tel: 6195422483)

📍

Updated Business Mailing Address August 07, 2023

Registered at 3965 FIFTH AVE STE 200, SAN DIEGO, CA 921033107 (Tel: 6195422483)

✅

NPI Profile Active August 10, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location August 10, 2012

Registered at 41 MALL RD, BURLINGTON, MA 018050001 (Tel: 7817445100)

📍

Updated Business Mailing Address August 10, 2012

Registered at 41 MALL RD, BURLINGTON, MA 018050001 (Tel: 7817445100)

👤

Provider Name / Credentials Updated August 10, 2012

Recorded as JAY BLAKE, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2012

Nurse Practitioner (License #RN2265898 in MA)

🟢

Initial NPI Registration & Enumeration September 10, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1619284742

Entity Type:

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

Enumeration Date: September 10, 2010

Last Update: June 10, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1793 13th St Se

Salem, OR 973022541

Phone: 5033628385

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.