CMS-1500 Box 24J / 33a • NPI
1871294967
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363A00000X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
Box 32 Service Location & ZIP+4
2627 RIVERSIDE AVE, JACKSONVILLE, FL, 32204-4717
✓ 9-Digit EDI 837 ZIP+4 (32204-4717)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1871294967 (DAVID JASON BLAIS, PA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1871294967)
Medicare Beneficiaries
273
Total Billed Services
334
Distinct CPT/HCPCS Codes
15
Medicare Allowed Total
$38,065.59
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 14 |
99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 42 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 53 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 83 |
99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 99 |
G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 23 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Gabapentin Gabapentin | 41 | 27 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 16 | 16 |
| Meloxicam Meloxicam | 24 | 13 |
| Tizanidine Hcl Tizanidine Hcl | 16 | 13 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1871294967 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | DAVID JASON BLAIS, PA |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant NUCC Code: 363A00000X (Physician Assistant) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 2627 RIVERSIDE AVE, JACKSONVILLE, FL, 32204-4717 |
| Practice Telephone / Fax | Tel: (904) 634-0640 | Fax: (904) 634-0203 |
| Administrative Mailing Address | 6800 SOUTHPOINT PKWY STE 300, JACKSONVILLE, FL, 32216-8203 |
| Enumeration & Last Sync | Enumerated: 2023-03-15 | CMS Record Updated: 2024-04-10 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (363A00000X)
What Does Taxonomy Code 363A00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (DAVID JASON BLAIS, PA)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: FL | License: PA9116731 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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