COLIN JAMES BLACKBURN (D.P.M) – Podiatrist, NPI 1790042638
Podiatrist
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
393 PODIATRY in IN
Provider Addresses for COLIN JAMES BLACKBURN (D.P.M)
2341 W LINCOLN RD
KOKOMO, IN 469028012
Phone: (844) 424-3668
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $631.
Total Amount is formed as General ($631) + Research ($0) + Ownership ($0) = $631.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Kerecis Limited ($284).
Total Amount
$631
General + Research + Ownership
Payments
19
Total payment records
General Amount
$631
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $284 |
| Organogenesis Inc. | $97 |
| Stryker Corporation | $51 |
| Avita Medical Americas, Llc | $36 |
| Nevro Corp. | $34 |
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: 2015-07-30
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 |
|---|---|---|---|---|
| I20150730013478 | 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 |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 414 | 161 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 399 | 201 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 171 | 38 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 124 | 68 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 108 | 108 | $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 | 105 | 38 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| - | KY | |
| H E M A T O L O G Y/ O N C O L O G Y | NM | |
| - | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| N E U R O L O G Y | IN |
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