LISA RENEE BLACKWOOD (MD) – Obstetrics & Gynecology Physician, NPI 1912298191
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
630 OBSTETRICS/GYNECOLOGY in KY
Provider Addresses for LISA RENEE BLACKWOOD (MD)
PO BOX 40
WHITESBURG, KY 418580040
Phone: (606) 633-4823
Type: Mailing
132 VILLAGE CENTER RD
HARLAN, KY 40831
Phone: (606) 573-7771
Fax: (606) 573-2809
Type: Location
132 Village Center Rd
Harlan, KY 40831
Phone: (606) 573-7771
Fax: (606) 573-2809
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $57.
Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.
Last reported payment date: 2024-04-25 • Largest payer in this snapshot: Medtronic, Inc. ($32).
Total Amount
$57
General + Research + Ownership
Payments
3
Total payment records
General Amount
$57
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $32 |
| Novo Nordisk Inc | $25 |
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: 2023-10-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20130807001040 | I | Obstetrics/Gynecology | VA | TBD |
| I20190610000694 | I | Nurse Practitioner | VA | TBD |
| I20231031002605 | I | Obstetrics/Gynecology | DC | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 41858)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MD | |
| - | MD | |
| O P H T H A L M O L O G Y | MD | |
| Internal Medicine | MD | |
| - | MD | |
| - | MD | |
| Family Practice | WV | |
| A N E S T H E S I O L O G Y | CA | |
| Physician Assistant | VA | |
| - | GA |
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