Blake Jeffrey Illston, D.O.
NPI 1487876355ActiveIndividual· Emergency Medicine· Fort Gordon, GA
Emergency Medicine (D.O.) in Fort Gordon, Georgia, licensed in GA, with an NPI issued in May 2007. Part D covered 22 prescriptions written in 2024, 82% of them generic.
Overview
| NPI | 1487876355 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | May 2, 2007 |
| Last updated in NPPES | Jul 29, 2026 |
| Certified by provider | Jul 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 68035 | GA |
| Emergency Medicine, Emergency Medical Services | 207PE0004X | RTP001882 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (GA); Practitioner - Emergency Medicine (SC) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 22 · 66 30-day fills |
|---|---|
| Total drug cost | $6,559 |
| Generic share | 82% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 16 emergency medicine physicians in Fort Gordon · All emergency medicine physicians in Georgia