MRS. BETHANY BLACKETER (M.D.) – Family Medicine Physician, NPI 1487764833
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
Provider Addresses for MRS. BETHANY BLACKETER (M.D.)
1330 LAS TABLAS RD
TEMPLETON, CA 934659758
Phone: (805) 542-6700
Fax: (805) 542-6791
Type: Location
1140 Main St
Livingston, CA 953341257
Phone: (209) 394-7913
Fax: (209) 394-9093
Type: Location
416, Spring Street, Paso Robles, San Luis Obispo County, California, 93447, United States
PASO ROBLES, CA 934463161
Phone: (805) 238-7250
Fax: (805) 238-0165
Type: Location
2050, South Blosser Road, Santa Maria, Santa Barbara County, California, 93458, United States
SANTA MARIA, CA 934587310
Phone: (805) 361-8030
Fax: (805) 361-8097
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $246.
Total Amount is formed as General ($246) + Research ($0) + Ownership ($0) = $246.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($146).
Total Amount
$246
General + Research + Ownership
Payments
14
Total payment records
General Amount
$246
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
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: 2004-04-26
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 |
|---|---|---|---|---|
| I20040426001063 | I | Family Practice | CA | 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 |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 177 | 108 | $0 |
| 82947 | Blood glucose (sugar) level | 166 | 108 | $0 |
| 81000 | Manual urinalysis test with examination using microscope, non-automated | 59 | 52 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 34 | 32 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 29 | 28 | $0 |
Insurance plans in this area (ZIP 93465)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | CA | |
| Family Practice | CA | |
| C H I R O P R A C T I C | CA | |
| C H I R O P R A C T I C | CA | |
| Family Practice | CA | |
| Certified Nurse Midwife (Cnm) | CA | |
| - | CA | |
| C H I R O P R A C T I C | CA | |
| Clinical Social Worker | CA |
Reviews
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