TRAVIS BLACKBURN – Surgical Physician Assistant, NPI 1396282026
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 TRAVIS BLACKBURN
3485 INDEPENDENCE DR
HOMEWOOD, AL 352095603
Phone: (205) 930-0920
Fax: (205) 445-0115
Type: Mailing
3125 INDEPENDENCE DR STE 210
HOMEWOOD, AL 352094164
Phone: (205) 930-0920
Fax: (205) 445-0115
Type: Location
125, Montgomery Highway, Vestavia Hills Estates, Vestavia Hills, Jefferson County, Alabama, 35216, United States
VESTAVIA, AL 352161840
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-08-16
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 |
|---|---|---|---|---|
| I20170816004236 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 224 | 28 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 67 | 34 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 52 | 48 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 36 | 31 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 35 | 35 | $0 |
Insurance plans in this area (ZIP 35209)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | AL | |
| U R O L O G Y | AL | |
| U R O L O G Y | AL | |
| Physician Assistant | AL | |
| U R O L O G Y | AL | |
| - | AL | |
| - | AL | |
| U R O L O G Y | AL | |
| U R O L O G Y | AL | |
| U R O L O G Y | AL |
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