DR. BERT ERIC BLACKWELL (D.O.) – Undersea and Hyperbaric Medicine (Emergency Medicine) Physician, NPI 1649221177
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,775 FAMILY PRACTICE in OK
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Provider Addresses for DR. BERT ERIC BLACKWELL (D.O.)
South Utica Avenue, Andalusia, Tulsa, Tulsa County, Oklahoma, 74114, United States
TULSA, OK 741044013
Phone: (918) 579-6863
Fax: (918) 579-6869
Type: Mailing
Ascension Saint John Organ Transplant Center, 4538, South Harvard Avenue, Tulsa, Tulsa County, Oklahoma, 74135-2906, United States
TULSA, OK 741352906
Phone: (918) 712-3377
Fax: (918) 712-3373
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $81.
Total Amount is formed as General ($81) + Research ($0) + Ownership ($0) = $81.
Last reported payment date: 2024-04-10 • Largest payer in this snapshot: Organogenesis Inc. ($61).
Total Amount
$81
General + Research + Ownership
Payments
2
Total payment records
General Amount
$81
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $61 |
| PFIZER INC. | $20 |
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: 2022-05-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20101117001567 | I | Family Practice | OK | TBD |
| I20220530000176 | I | Family Practice | TX | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 540 | 155 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 134 | 69 | $0 |
| G0127 | Trimming of dystrophic nails, any number | 42 | 26 | $0 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 39 | 17 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 33 | 23 | $0 |
Insurance plans in this area (ZIP 74104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| - | OK | |
| - | OK | |
| Emergency Medicine | SC | |
| - | OK | |
| Family Practice | OK | |
| - | OK | |
| - | OK | |
| Internal Medicine, Hospice/Palliative Care | OK | |
| Emergency Medicine | OK |
Reviews
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