BILLY JACOB BLACKMON (MD) – Diagnostic Radiology Physician, NPI 1215058110
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,271 DIAGNOSTIC RADIOLOGY in GA
Provider Addresses for BILLY JACOB BLACKMON (MD)
154 ROSEMONT ST
SAINT SIMONS ISLAND, GA 315221777
Phone: (912) 580-8162
Type: Location
234 Goodman St
Cincinnati, OH 452192364
Phone: (513) 584-7355
Fax: (513) 584-0431
Type: Location
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.
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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: 2025-04-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20100831000519 | I | Diagnostic Radiology | GA | TBD |
| I20150714000500 | I | Diagnostic Radiology | SC | TBD |
| I20200131001171 | I | Diagnostic Radiology | FL | TBD |
| I20230504001835 | I | Diagnostic Radiology | NV | TBD |
| I20250417001073 | I | Diagnostic Radiology | NC | 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 |
|---|---|---|---|---|
| 70450 | Ct scan head or brain without contrast | 1,762 | 1,688 | $0 |
| 71045 | X-ray of chest, 1 view | 857 | 775 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 566 | 559 | $0 |
| 72125 | Ct scan of upper spine without contrast | 462 | 456 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 451 | 445 | $0 |
Insurance plans in this area (ZIP 31522)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | GA | 71010 | X-ray of chest, 1 view, front | 1734 | 1065 |
| DIAGNOSTIC RADIOLOGY | GA | 73140 | X-ray of fingers, minimum of 2 views | 15 | 13 |
| DIAGNOSTIC RADIOLOGY | GA | 73562 | X-ray of knee, 3 views | 61 | 53 |
| DIAGNOSTIC RADIOLOGY | GA | 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 74 | 72 |
| DIAGNOSTIC RADIOLOGY | GA | 93922 | Ultrasound study of arteries of both arms and legs | 15 | 15 |
| DIAGNOSTIC RADIOLOGY | GA | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 164 | 160 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | GA | |
| Interventional Radiology | FL | |
| Diagnostic Radiology, Interventional Radiology | OH | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | WI | |
| - | FL | |
| Neurology, Nuclear Medicine, Diagnostic Radiology | FL | |
| Diagnostic Radiology | KY | |
| - | FL | |
| Diagnostic Radiology | TN |
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