JEREMY TY BLACKWELL (M.D.) – Family Medicine Physician, NPI 1205053352
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,754 FAMILY PRACTICE in AL
Provider Addresses for JEREMY TY BLACKWELL (M.D.)
1450 JONES DAIRY ROAD
BLDG 600
JASPER, AL 355016109
Phone: (205) 387-8159
Fax: (205) 387-8262
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 163 Open Payments records for all available years, with a total value of $2,713.
Total Amount is formed as General ($2,713) + Research ($0) + Ownership ($0) = $2,713.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($758).
Total Amount
$2,713
General + Research + Ownership
Payments
163
Total payment records
General Amount
$2,713
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $758 |
| Novo Nordisk Inc | $364 |
| PFIZER INC. | $198 |
| AstraZeneca Pharmaceuticals LP | $182 |
| Lilly USA, LLC | $100 |
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: 2007-06-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20070625000435 | I | Family Practice | AL | 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 | 489 | 190 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 117 | 117 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 114 | 114 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 104 | 18 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 88 | 14 | $0 |
Insurance plans in this area (ZIP 35501)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | AL | 85610 | Blood test, clotting time | 94 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | AL | |
| - | AL | |
| Internal Medicine | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | LA | |
| Internal Medicine | AL | |
| Family Practice | AL | |
| Family Practice | AL | |
| Internal Medicine | AL |
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