BLAINE RANDALL BLAKESTAD MD NPI 1881641975

NPI Details

Blaine Randall Blakestad, MD is a general practice in Lufkin, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Blaine Randall Blakestad, MD NPI is 1881641975. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1201 W FRANK AVE
LUFKIN, TX
ZIP 75904-357
Phone: (936) 639-7696
Fax: (936) 639-7352

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
• Removal of muscle and/or tissue, 20.0 sq cm or less (HCPCS:11043)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• 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 (HCPCS:15271)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Removal of skin and tissue, each additional 20.0 sq cm or less (HCPCS:11045)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)

The enumeration date for this NPI number is 5/27/2006 and was last updated on 9/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.