BRET S BLACKHART (M.D.) – Dermatology Physician, NPI 1992708655

BRET S BLACKHART (M.D.) is a healthcare provider. based in Reno, Nevada. specializing in Dermatology Physician. They hold the professional credentials M.D.. They hold a License No. 7747 (NV). The NPI Number for BRET S BLACKHART (M.D.) is 1992708655

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
BRET S BLACKHART (M.D.)
NPI
1992708655
Phone
(775) 336-3624
Address
640 W MOANA LN
Enumeration Date
24 May 2005
Last Update Date
4 March 2019

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
7753240699
Graduation Year
1986 (40 years ago)
PAC ID
0547441016
Group Practice PAC ID
1153609813
Professional Enrollment ID
I20110217000246
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

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Provider Addresses for BRET S BLACKHART (M.D.)

  • West Moana Lane, Reno, Washoe County, Nevada, 89502, United States

    RENO, NV 895094903

    Phone: (775) 336-3624

    Fax: (775) 888-8067

    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 53 Open Payments records for all available years, with a total value of $3,636.

Total Amount is formed as General ($3,636) + Research ($0) + Ownership ($0) = $3,636.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: ABBVIE INC. ($2,972).

Total Amount

$3,636

General + Research + Ownership

Payments

53

Total payment records

General Amount

$3,636

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

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: 2011-02-17

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
I20110217000246IDermatologyNVTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes587428$0
17003Destruction of precancer skin growth, 2-14 growths521139$0
17000Destruction of precancer skin growth, 1 growth284209$0
96900Application of ultraviolet light to skin12822$0
11102Biopsy of related skin growth, first growth10595$0
View full utilization report →

Insurance plans in this area (ZIP 89509)

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Provider's Procedures

BRET S BLACKHART (M.D.) performs procedures in Dermatology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYNV11101Biopsy of each additional growth of skin and/or tissue9058
DERMATOLOGYNV17003Destruction of 2-14 skin growths1138411
DERMATOLOGYNV88304Pathology examination of tissue using a microscope, moderately low complexity9477

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: 1153609813View full group profile
NameSpecialtyState
D E R M A T O L O G YOR
Physician AssistantNV
Physician AssistantID
D E R M A T O L O G YNV
-AK
-ID
D E R M A T O L O G YOH
Physician AssistantTX
Physician AssistantOR
Physician AssistantOR

Reviews

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Frequently asked questions

What is the 10-digit NPI for BRET S BLACKHART (M.D.)?
BRET S BLACKHART (M.D.) — NPI 1992708655 — is the standard way to identify this listing.
Is BRET S BLACKHART (M.D.) listed as active for patients and plans?
The listing shows BRET S BLACKHART (M.D.) as active in the NPI system.
What is BRET S BLACKHART (M.D.) best known for clinically?
Directory data describes BRET S BLACKHART (M.D.) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect BRET S BLACKHART (M.D.) on a map?
Expect Reno, Nevada as a primary anchor for BRET S BLACKHART (M.D.) unless the record lists multiple sites.
Is the information about BRET S BLACKHART (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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