DOUGLAS BLACKLIDGE (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1003901133
Foot & Ankle Surgery Podiatrist
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Profile Insights
NPPES metrics only — not quality of care.
393 PODIATRY in IN
Provider Addresses for DOUGLAS BLACKLIDGE (DPM)
2341 W LINCOLN RD
KOKOMO, IN 469028012
Phone: (844) 424-3668
Fax: (317) 575-6909
Type: Mailing
2330, South Dixon Road, Greentree, Kokomo, Howard County, Indiana, 46902, United States
KOKOMO, IN 469026400
Phone: (765) 455-5400
Fax: (765) 865-3912
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 62 Open Payments records for all available years, with a total value of $165,100.
Total Amount is formed as General ($165,100) + Research ($0) + Ownership ($0) = $165,100.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Paragon 28, Inc. ($106,629).
Total Amount
$165,100
General + Research + Ownership
Payments
62
Total payment records
General Amount
$165,100
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Paragon 28, Inc. | $106,629 |
| Stryker Corporation | $54,004 |
| Extremity Medical | $4,305 |
| Kerecis Limited | $39 |
| Kowa Pharmaceuticals America, Inc. | $28 |
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: 2004-08-06
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 |
|---|---|---|---|---|
| I20040806000722 | I | Podiatry | IN | 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 | 435 | 235 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 272 | 140 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 169 | 169 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 81 | 25 | $0 |
| 73610 | X-ray of ankle, minimum of 3 views | 70 | 48 | $0 |
Insurance plans in this area (ZIP 46902)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | IN | 11042 | Removal of skin and tissue first 20 sq cm or less | 140 | 43 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IN | |
| - | IN | |
| - | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| Nurse Practitioner | IN | |
| Orthopedic Surgery | IN | |
| - | IN | |
| Family Practice | IN | |
| - | IN | |
| Physical Therapist In Private Practice | KY |
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