LISA R BLACKRICK (MD) – Orthopaedic Trauma Physician, NPI 1386846871
Orthopaedic Trauma Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,916 ORTHOPEDIC SURGERY in FL
Provider Addresses for LISA R BLACKRICK (MD)
PO BOX 370
FORTSON, GA 318080370
Phone:
Fax: (706) 494-3008
Type: Mailing
4689 Highway 17
Suite 11
Fleming Island, FL 32003
Phone: (904) 375-8850
Type: Location
University Boulevard South, Jacksonville, Duval County, Florida, 32216, United States
JACKSONVILLE, FL 322167401
Phone: (904) 379-5986
Fax: (904) 551-0282
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 45 Open Payments records for all available years, with a total value of $21,213.
Total Amount is formed as General ($21,213) + Research ($0) + Ownership ($0) = $21,213.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Synthes GmbH ($16,513).
Total Amount
$21,213
General + Research + Ownership
Payments
45
Total payment records
General Amount
$21,213
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Synthes GmbH | $16,513 |
| Medical Device Business Services, Inc. | $3,565 |
| Stryker Corporation | $916 |
| DePuy Synthes Sales Inc. | $148 |
| Access Pro Medical, LLC | $44 |
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: 2020-04-06
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 |
|---|---|---|---|---|
| I20100810001003 | I | Orthopedic Surgery | PA | TBD |
| I20200406001701 | I | Orthopedic Surgery | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 23 | 18 | $0 |
| 27245 | Treatment of broken neck of thigh bone with bone implant | 14 | 14 | $0 |
| 27236 | Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement | 12 | 11 | $0 |
Insurance plans in this area (ZIP 31808)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | OH | |
| Physician Assistant | FL | |
| Physician Assistant | GA | |
| Orthopedic Surgery | GA | |
| Physician Assistant | FL | |
| Physician Assistant | GA | |
| Orthopedic Surgery | GA | |
| Physician Assistant | GA | |
| Orthopedic Surgery | GA | |
| Orthopedic Surgery, Diagnostic Radiology, Hand Surgery | GA |
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