DR. PETER BLACKBURN (MD) – Retina Specialist (Ophthalmology) Physician, NPI 1336196815

DR. PETER BLACKBURN (MD) is a healthcare provider. based in Corbin, Kentucky. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 36686 (KY). The NPI Number for DR. PETER BLACKBURN (MD) is 1336196815

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. PETER BLACKBURN (MD)
NPI
1336196815
Phone
(606) 528-9393
Address
65 East City Dam Rd
Enumeration Date
28 May 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
6066797441
Graduation Year
1997 (29 years ago)
PAC ID
3375431356
Group Practice PAC ID
5698689909
Professional Enrollment ID
I20050215000528
Address ID
KY425032750SO305XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

284 OPHTHALMOLOGY in KY

Provider Addresses for DR. PETER BLACKBURN (MD)

  • 65 East City Dam Rd

    Corbin, KY 407014620

    Phone: (606) 528-9393

    Fax: (606) 528-9397

    Type: Location

  • Conn Terrace, North Elizabeth Street, Lexington, Fayette County, Kentucky, 40508, United States

    LEXINGTON, KY 405083206

    Phone: (859) 323-5867

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $853.

Total Amount is formed as General ($853) + Research ($0) + Ownership ($0) = $853.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Genentech USA, Inc. ($253).

Total Amount

$853

General + Research + Ownership

Payments

22

Total payment records

General Amount

$853

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-02-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050215000528IOphthalmologyKYTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J2777Injection, faricimab-svoa, 0.1 mg22,62177$0
92134Imaging of retina1,710710$0
99213Established patient office or other outpatient visit, 20-29 minutes1,174603$0
67028Injection of drug into eye840256$0
J3590Unclassified biologics497173$0
View full utilization report →

Insurance plans in this area (ZIP 40701)

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Provider's Procedures

DR. PETER BLACKBURN (MD) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYKY92012Eye and medical examination for diagnosis and treatment, established patient116105
OPHTHALMOLOGYKY92134Diagnostic imaging of retina2222969

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698689909View full group profile
NameSpecialtyState
Diagnostic RadiologyKY
A N E S T H E S I O L O G YFL
Pediatric MedicineKY
Internal MedicineKY
H O S P I T A L I S TOH
Critical Care (Intensivists), Pulmonary DiseaseKY
Interventional Radiology, Diagnostic RadiologyKY
Internal MedicineKY
Thoracic Surgery, Cardiac SurgeryKY
Pediatric Medicine, Internal MedicineKY

Reviews

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Frequently asked questions

What NPI should I save for DR. PETER BLACKBURN (MD)?
Save NPI 1336196815 if you need a stable reference for DR. PETER BLACKBURN (MD).
Is DR. PETER BLACKBURN (MD) currently active in the NPI registry?
CMS-published data lists DR. PETER BLACKBURN (MD) as an active registrant.
What field does DR. PETER BLACKBURN (MD) work in?
You can think of DR. PETER BLACKBURN (MD) as practicing within Retina Specialist (Ophthalmology) Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. PETER BLACKBURN (MD)?
The snapshot lists Corbin, Kentucky for DR. PETER BLACKBURN (MD); download NPPES for the complete set.
How can I contact DR. PETER BLACKBURN (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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