MS. VICKI M BLACKWELL (PA) – Surgical Physician Assistant, NPI 1043235963
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,201 PHYSICIAN ASSISTANT in AL
Provider Addresses for MS. VICKI M BLACKWELL (PA)
2010 Patton Chapel Rd Ste 200
Vestavia Hills, AL 352165784
Phone: (205) 910-7599
Fax: (205) 208-9001
Type: Location
3820 NORTHDALE BLVD STE 201
TAMPA, FL 336241893
Phone: (800) 991-6117
Type: Mailing
3657 MADACA LN
TAMPA, FL 336182048
Phone: (800) 991-6117
Type: Location
860, Montclair Road, Bentley Hills, Birmingham, Jefferson County, Alabama, 35213, United States
SUITE 955
BIRMINGHAM, AL 352131923
Phone: (205) 599-3700
Fax: (205) 599-3744
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 64 Open Payments records for all available years, with a total value of $1,006.
Total Amount is formed as General ($1,006) + Research ($0) + Ownership ($0) = $1,006.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($152).
Total Amount
$1,006
General + Research + Ownership
Payments
64
Total payment records
General Amount
$1,006
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-05-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080909000417 | I | Physician Assistant | AL | TBD |
| I20250509002648 | I | Physician Assistant | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 18 | 12 | $0 |
Insurance plans in this area (ZIP 35216)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | FL | |
| Orthopedic Surgery | GA | |
| Physician Assistant | FL | |
| Family Practice, Pain Management | FL | |
| Internal Medicine | FL | |
| Pain Management, Interventional Pain Management, Anesthesiology | FL | |
| Hand Surgery | MA | |
| Sports Medicine | FL | |
| Family Practice | FL | |
| Interventional Cardiology, Internal Medicine, Cardiovascular Disease (Cardiology) | FL |
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