JOSEPH BRUCE BLACKBURN (MD) – Family Medicine Physician, NPI 1730183138

JOSEPH BRUCE BLACKBURN (MD) is a healthcare provider. based in Medina, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 350-77002-B (OH). The NPI Number for JOSEPH BRUCE BLACKBURN (MD) is 1730183138

Main info

Male
Sole Proprietor
38 Years Of Experience
Name
JOSEPH BRUCE BLACKBURN (MD)
NPI
1730183138
Phone
(330) 722-6337
Address
1075 S COURT ST
Enumeration Date
13 June 2005
Deactivation Date
16 March 2006
Reactivation Date
31 March 2006
Last Update Date
7 January 2010

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1988 (38 years ago)
PAC ID
8224922158
Group Practice PAC ID
4183617863
Professional Enrollment ID
I20040211001004
Address ID
OH442563836Me1075XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,431 FAMILY PRACTICE in OH

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Provider Addresses for JOSEPH BRUCE BLACKBURN (MD)

  • 1075, South Court Street, Medina, Medina County, Ohio, 44256, United States

    STE 100

    MEDINA, OH 442563836

    Phone: (330) 722-6337

    Fax: (330) 722-0481

    Type: Location

  • South Court Street, Medina Public Square Historic District, Medina, Medina County, Ohio, 44256, United States

    STE 100

    MEDINA, OH 442563836

    Phone: (330) 722-6337

    Fax: (330) 722-0481

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 188 Open Payments records for all available years, with a total value of $3,279.

Total Amount is formed as General ($3,279) + Research ($0) + Ownership ($0) = $3,279.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($579).

Total Amount

$3,279

General + Research + Ownership

Payments

188

Total payment records

General Amount

$3,279

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

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: 2004-02-11

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
I20040211001004IFamily PracticeOHTBD

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 minutes601254$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit250250$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes18540$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg9214$0
99238Hospital discharge day management, 30 minutes or less8957$0
View full utilization report →

Insurance plans in this area (ZIP 44256)

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Provider's Procedures

JOSEPH BRUCE BLACKBURN (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEOH90670Pneumococcal vaccine for injection into muscle7474

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: 4183617863View full group profile
NameSpecialtyState
Physician AssistantOH

Reviews

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Frequently asked questions

What identifier follows JOSEPH BRUCE BLACKBURN (MD) across health systems?
The NPI 1730183138 uniquely identifies JOSEPH BRUCE BLACKBURN (MD) in U.S. healthcare data.
Should I treat JOSEPH BRUCE BLACKBURN (MD) as an active provider?
Patients and plans typically see JOSEPH BRUCE BLACKBURN (MD) as active in the national extract.
What type of care does JOSEPH BRUCE BLACKBURN (MD) provide?
JOSEPH BRUCE BLACKBURN (MD)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to JOSEPH BRUCE BLACKBURN (MD)?
The directory associates JOSEPH BRUCE BLACKBURN (MD) with Medina, Ohio. Check all listed addresses for suites or satellite offices.
Who maintains JOSEPH BRUCE BLACKBURN (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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