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Active NPI 1538208533 Individual Practitioner Female Practitioner

Carol Vanderpoel Blake , PA-C

Physician Assistant • Ephrata, PA

Professional Overview & Biography Verified Profile Summary

Carol Blake, PA-C is a registered healthcare professional specializing in Physician Assistant in Ephrata, PA. Practice services are available at 446 N READING RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

446 N Reading Rd

Ephrata, PA 175229802

Telephone 7177384334
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ephrata, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.4 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
18 Specialists

Practicing in Ephrata, PA (8068 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
44.1% 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
115 77 $180.00 $104.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
112 109 $78.00 $46.97
99213 Established patient office or other outpatient visit, typically 15 minutes
22 21 $119.00 $75.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
16 16 $277.00 $139.24

Medical Specialties & State Licenses

CMS Verified: 2020-06-08
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License PA MA055489

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

Commercial Insurance / Payer ID Medicare Ptan
240558UFW (PA)

Practice Associates & Co-Workers

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

6 Associated Practitioners
Xanthi Kelly , CRNP

Nurse Practitioner

NPI 1538772066

Certified Registered Nurse Practitioner

Dr. Michael Delacruz , MD

Internal Medicine - Pulmonary Disease

NPI 1629232087

Doctor of Medicine (M.D.)

Dr. Ammar Alimam , MD

Internal Medicine - Critical Care Medicine

NPI 1770542946

Doctor of Medicine (M.D.)

Dr. Gregory Brown , MD

Internal Medicine - Pulmonary Disease

NPI 1881856334

Doctor of Medicine (M.D.)

Dr. Arun Agrawal , MD

Internal Medicine - Pulmonary Disease

NPI 1932300241

Doctor of Medicine (M.D.)

Dr. John Joseph , MD

Internal Medicine - Pulmonary Disease

NPI 1992758627

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location June 08, 2020

Registered at 446 N READING RD, EPHRATA, PA 175229802 (Tel: 7177384334)

NPI Profile Active April 13, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address April 13, 2017

Registered at 3421 CONCORD RD, YORK, PA 174029001 (Tel: 7177384334)

📍
Updated Practice Location April 13, 2017

Registered at 227 GRANITE RUN DR, SUITE 110, LANCASTER, PA 176016813 (Tel: 7175605156)

👤
Provider Name / Credentials Updated April 13, 2017

Recorded as CAROL BLAKE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2017

Physician Assistant (License #MA055489 in PA)

NPI Profile Active May 27, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 27, 2015

Registered at 227 GRANITE RUN DR, SUITE 110, LANCASTER, PA 176016813 (Tel: 7175605156)

📍
Updated Business Mailing Address May 27, 2015

Registered at 4131 OREGON PIKE, SUITE C, EPHRATA, PA 175229550 (Tel: 7178595161)

👤
Provider Name / Credentials Updated May 27, 2015

Recorded as CAROL BLAKE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2015

Physician Assistant (License #MA055489 in PA)

🟢
Initial NPI Registration & Enumeration February 06, 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: 1538208533
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 06, 2007
Last Update: June 08, 2020
Sole Proprietor: No

Mailing Address

3421 Concord Rd

York, PA 174029001

Phone: 7177384334

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.