Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Danice Blaise , MD, MBA

General Practice โ€ข Lake Wales, FL

Active NPI 1255829966 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

684 State Road 60 W
Lake Wales, FL 338534419

Call 8639494868 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

684 State Road 60 W

Lake Wales, FL 338534419

Telephone 8639494868
Fax 8632238549
Organization at the Same NPPES Address or Phone
Medical Home Alliance Llc Facility NPI 1417622853

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Winter Haven, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2017

Medicare patients

18 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $3,261 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $2,263 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

14,600 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$481,541 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2023

All general payments: $92.29 across 3 records.

By nature of payment

  • Food and Beverage: $92.29 across 3 records.

Reporting-company totals

  • Ethicon Inc.: $59.83 across 1 record.
  • Novo Nordisk Inc: $32.46 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2023 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

9 years (graduated 2017)

CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Blaise has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Blaise as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Lake Wales and Florida

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 85% of clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: 138. Middle half: 63 to 510.

Too few clinicians listed under General Practice in Lake Wales have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 85% of clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: $12,422. Middle half: $5,563 to $41,228.

Too few clinicians listed under General Practice in Lake Wales have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 85% of clinicians listed under General Practice in Florida (2024, 744 clinicians with data). Median for this group: $9,105. Middle half: $3,803 to $30,969.

Too few clinicians listed under General Practice in Lake Wales have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 75% of clinicians listed under General Practice in Florida (2024, 1,276 clinicians with data). Median for this group: 2,849. Middle half: 518 to 6,924.

Too few clinicians listed under General Practice in Lake Wales have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 75% of clinicians listed under General Practice in Florida (2024, 1,276 clinicians with data). Median for this group: $166,180. Middle half: $16,824 to $452,832.

Too few clinicians listed under General Practice in Lake Wales have Medicare Part D data for 2024 to compare.

6 active clinicians are listed under General Practice with a practice address in Lake Wales, FL (2,293 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2023

Program year 2023 (payments made January 1 โ€“ December 31, 2023): fewer than 11 records totaling $92.29.

Manufacturer Payment Nature Product Type Amount ($)
Ethicon Inc.
Food and Beverage
In-kind items and services
Echelon Flex General $59.83
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Rybelsus General $18.14
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Rybelsus General $14.32

Source: CMS Open Payments, program year 2023, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2023โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
37 11 $170.66 $88.13

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 622 50,929 $6,431.43 226
Metformin Hcl Metformin Hcl 275 20,990 $1,063.24 96
Furosemide Furosemide 233 12,110 $724.89 82
Lisinopril Lisinopril 228 17,885 $1,151.90 84
Amlodipine Besylate Amlodipine Besylate 223 16,789 $931.76 86
Gabapentin Gabapentin 206 12,807 $3,119.38 76
Albuterol Sulfate Hfa Albuterol Sulfate 200 6,642 $4,940.83 65
Losartan Potassium Losartan Potassium 186 15,673 $1,746.62 64
Methylprednisolone Methylprednisolone 165 1,004 $1,193.47 123
Levothyroxine Sodium Levothyroxine Sodium 164 13,490 $1,697.95 54
Vitamin D2 Ergocalciferol (Vitamin D2) 137 10,674 $659.47 49
Chlorthalidone Chlorthalidone 124 7,529 $1,010.34 36
Pantoprazole Sodium Pantoprazole Sodium 122 9,240 $1,372.78 46
Hydrochlorothiazide Hydrochlorothiazide 118 8,805 $446.14 41
Glimepiride Glimepiride 113 7,567 $587.19 36
Metoprolol Succinate Metoprolol Succinate 109 7,834 $1,025.59 37
Omeprazole Omeprazole 102 7,775 $1,130.21 34
Potassium Chloride Potassium Chloride 101 6,133 $1,224.06 40
Tamsulosin Hcl Tamsulosin Hcl 97 6,853 $920.30 35
Tramadol Hcl Tramadol Hcl 94 2,458 $671.68 40
Eliquis Apixaban 91 5,537 $106,252.65 25
Clopidogrel Clopidogrel Bisulfate 86 6,472 $788.71 31
Naproxen Naproxen 83 2,771 $923.25 45
Trazodone Hcl Trazodone Hcl 83 5,430 $505.20 27
Alprazolam Alprazolam 82 2,429 $215.87 20

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-12-07
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES FL ACN1418

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

Internal Medicine

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES NH 25173

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MO 2019045102

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

License # reported to NPPES IN CV2000213

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
115752400 (FL)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL PRACTICE

Medicare Enrollment ID

I20220502000035

Enrollment State Jurisdiction

FL

PECOS Control ID

1355738899

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

571 Avenue K Se

Winter Haven, FL 338804215

Phone: 4074400708

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Natasha Fenelon , APRN

Nurse Practitioner - Family

NPI 1003426883

Advanced Practice Registered Nurse

NPI 1104321348

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2024

General Practice (license number reported to NPPES: FL ACN1418)

๐Ÿ“
Updated Practice Location October 27, 2022

Registered at 684 STATE ROAD 60 W, LAKE WALES, FL 338534419 (Tel: 8639494868)

๐Ÿ“
Updated Business Mailing Address October 27, 2022

Registered at 6675 WESTWOOD BLVD STE 475, ORLANDO, FL 328216027 (Tel: 4078450330)

๐Ÿ“
Updated Practice Location September 23, 2020

Registered at 13035 OLIVE BLVD, CREVE COEUR, MO 631416173 (Tel: 3145486550)

๐Ÿ“
Updated Business Mailing Address September 23, 2020

Registered at 916 OLIVE ST, SAINT LOUIS, MO 631011400 (Tel: 3144369300)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2020

Physician Assistant (license number reported to NPPES: MO 2019045102)

๐Ÿ“
Updated Practice Location June 24, 2020

Registered at 916 OLIVE ST, SAINT LOUIS, MO 631011400 (Tel: 3144369300)

๐Ÿ“
Updated Business Mailing Address June 24, 2020

Registered at 6017 BEAVER CREEK LN, JONESBORO, AR 724049558 (Tel: 9546810068)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2020

Physician Assistant (license number reported to NPPES: IN CV2000213)

โœ…
NPI Profile Active April 27, 2018

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) April 27, 2018

Registered at 225 E JACKSON AVE, JONESBORO, AR 724013119 (Tel: 8702074261)

๐Ÿ“
Business Mailing Address (Initial Record) April 27, 2018

Registered at 225 E JACKSON AVE, JONESBORO, AR 724013119 (Tel: 8702074261)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) April 27, 2018

Recorded as DANICE BLAISE, MD,MBA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2018

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration April 27, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1255829966
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2018
Last Update: December 07, 2024
Sole Proprietor: Yes

Other General Practices in Lake Wales

Healthcare providers in Lake Wales

Mailing Address

6675 Westwood Blvd Ste 475

Orlando, FL 328216027

Phone: 4078450330

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.