Active NPI 1881641975 Individual Practitioner Male Practitioner

Dr. Blaine Randall Blakestad , MD

General Practice • Lufkin, TX

Professional Overview & Biography Verified Profile Summary

Dr. Blaine Blakestad, MD is a registered healthcare professional specializing in General Practice in Lufkin, TX. Practice services are available at 1201 W FRANK AVE under active NPI credentials.

Frequently performed procedures and clinical services include removal of skin and tissue, 20.0 sq cm or less, established patient outpatient office visit, removal of muscle and/or tissue, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1201 W Frank Ave

Lufkin, TX 759043357

Telephone 9366397696

Fax 9366397352

Associated Practice Facility / Clinic

🏢 Memorial Health System Of East Texas Facility NPI 1396746129

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Lufkin, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 58.0 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

2 Specialists

Practicing in Lufkin, TX (1183 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.3% 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	100	20	$274.00	$52.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	13	$398.00	$93.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	353	72	$274.00	$52.00
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	330	43	$300.00	$146.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$616.00	$130.22
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	55	11	$250.00	$79.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	38	$398.00	$95.00
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	23	12	$45.00	$24.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	14	$156.00	$34.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$528.00	$129.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	353	48	$300.00	$148.35
11042 Removal of skin and tissue, 20.0 sq cm or less	238	50	$274.00	$50.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	36	$398.00	$97.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$616.00	$130.37
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	46	12	$80.00	$52.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	24	$528.00	$131.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	265	42	$300.00	$153.63
11042 Removal of skin and tissue, 20.0 sq cm or less	236	41	$274.00	$53.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$616.00	$127.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	30	$398.00	$77.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	28	$528.00	$135.18
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$380.00	$99.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	314	47	$300.00	$149.13
11042 Removal of skin and tissue, 20.0 sq cm or less	249	52	$274.00	$55.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	44	$398.00	$76.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$616.00	$125.67
99221 Initial hospital inpatient care per day, typically 30 minutes	33	32	$380.00	$98.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$528.00	$133.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	386	51	$300.00	$143.94
11042 Removal of skin and tissue, 20.0 sq cm or less	228	51	$274.00	$47.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$616.00	$118.98
99221 Initial hospital inpatient care per day, typically 30 minutes	51	45	$380.00	$93.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	37	$398.00	$72.28
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	35	11	$86.29	$52.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$528.00	$125.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	684	78	$300.00	$141.70
11042 Removal of skin and tissue, 20.0 sq cm or less	366	73	$274.00	$48.35
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	104	27	$82.12	$51.43
99221 Initial hospital inpatient care per day, typically 30 minutes	66	58	$380.00	$91.82
99213 Established patient office or other outpatient visit, typically 15 minutes	65	44	$264.00	$46.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$616.00	$117.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	38	$398.00	$71.51
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	37	14	$45.00	$23.93
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	22	$156.00	$35.61
11044 Removal of bone, 20.0 sq cm or less	24	11	$500.00	$211.29

Medical Specialties & State Licenses

CMS Verified: 2020-09-29

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License TX F1391

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Preventive Medicine - Undersea and Hyperbaric Medicine

NUCC Taxonomy Code: 2083P0011X

State License TX F1391

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NUCC Taxonomy Code: 208G00000X

State License TX F1391

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

214434701 (TX)

Commercial Insurance / Payer ID Blue Cross

8F6127 (TX)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Jamie Parks , FNP-C

Nurse Practitioner - Family

NPI 1164757639

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 31, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 31, 2014

Registered at 1201 W FRANK AVE, LUFKIN, TX 759043357 (Tel: 9366397696)

📍

Updated Business Mailing Address March 31, 2014

Registered at 702 BRENTWOOD DR, LUFKIN, TX 759018853 (Tel: 9366397861)

👤

Provider Name / Credentials Updated March 31, 2014

Recorded as BLAINE BLAKESTAD, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2014

Preventive Medicine (License #F1391 in TX)

🟢

Initial NPI Registration & Enumeration May 27, 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: 1881641975

Entity Type:

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

Enumeration Date: May 27, 2006

Last Update: September 29, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

702 Brentwood Dr

Lufkin, TX 759018853

Phone: 9366397861

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.