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Active NPI 1013994953 Individual Practitioner Male Practitioner

John Vayden Blake , PA

Physician Assistant • Summersville, WV

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

John Blake, PA is a certified Physician Assistant practicing in Summersville, WV. With approximately 28 years of clinical experience since completing medical education in 1998, John Blake delivers high-quality medical care to the local community at 315 FAIRVIEW HEIGHTS RD.

John Blake is affiliated with New River Health Association Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with low level of medical decision making, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

315 Fairview Heights Rd

Summersville, WV 266511086

Telephone 3044692905
Fax 3044655486
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Summersville, WV

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
28 Yrs +8.3 yrs vs City Avg
City Avg: 19.7 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
7 Specialists

Practicing in Summersville, WV (1163 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blake (28 Years) 28 Yrs
Summersville Specialty Average (19.7 Years) 19.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99283 Emergency department visit with low level of medical decision making
26 25 $136.00 $52.24
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
11 11 $46.00 $7.02

Medical Specialties & State Licenses

CMS Verified: 2025-01-03
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WV 929

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License WV 202

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

New River Health Association Inc

497 Mall Rd, Oak Hill, WV 259016115

New River Health Association Inc

315 Fairview Heights Rd, Summersville, WV 266511086

Phone: 3044692905

New River Health Association Inc

497 Mall Rd, Oak Hill, WV 259016216

Phone: 3044692905

Practice Associates & Co-Workers

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

40 Associated Practitioners
Linda Stein , MSW

Social Worker - Clinical

NPI 1013289685

Master of Social Work

NPI 1023257599

Doctor of Osteopathic Medicine (D.O.)

Krystal Smithers , PA-C

Physician Assistant - Medical

NPI 1033558465

Physician Assistant (Certified)

Kimberly Stevenson , FNP-BC

Nurse Practitioner - Family

NPI 1053818450

Family Nurse Practitioner (Board Certified)

Kassie Gunnoe , LGSW

Social Worker - School

NPI 1073345930
Dr. Abdul Mirza , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1104924166

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2025

Physician Assistant (License #202 in WV)

📍
Updated Practice Location October 30, 2024

Registered at 315 FAIRVIEW HEIGHTS RD, SUMMERSVILLE, WV 266511086 (Tel: 3044692980)

📍
Updated Business Mailing Address October 30, 2024

Registered at 497 MALL RD, OAK HILL, WV 259016216 (Tel: 3044692905)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2024

Physician Assistant (License #929 in WV)

📍
Updated Practice Location December 21, 2021

Registered at 118 MARKET ST, MANNINGTON, WV 265821131 (Tel: 3049861750)

📍
Updated Business Mailing Address December 21, 2021

Registered at PO BOX 1112, FAIRMONT, WV 265551112 (Tel: 3049861750)

NPI Profile Active April 25, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 25, 2013

Registered at 324 MILLER MOUNTAIN DR, WEBSTER SPRINGS, WV 262881026 (Tel: 3048475682)

📍
Updated Business Mailing Address April 25, 2013

Registered at 324 MILLER MOUNTAIN DR, P.O. BOX 312, WEBSTER SPRINGS, WV 262881065 (Tel: 3048475682)

👤
Provider Name / Credentials Updated April 25, 2013

Recorded as JOHN BLAKE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2013

Physician Assistant (License #202 in WV)

🟢
Initial NPI Registration & Enumeration December 30, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1013994953
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 30, 2005
Last Update: January 03, 2025
Sole Proprietor: No

Mailing Address

497 Mall Rd

Oak Hill, WV 259016216

Phone: 3044692905

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.