DENNIS SIDNEY BLACKSTAD (DO) – Family Medicine Physician, NPI 1710040894
Family 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 DENNIS SIDNEY BLACKSTAD (DO)
730, East Taft Avenue, Sapulpa, Creek County, Oklahoma, 74066, United States
SAPULPA, OK 740665766
Phone: (918) 216-4006
Fax: (918) 216-4007
Type: Location
PO BOX 342
BROKEN ARROW, OK 740130342
Phone: (918) 806-8050
Fax: (918) 995-3773
Type: Mailing
511 N ASPEN AVE
BROKEN ARROW, OK 740122220
Phone: (918) 806-8050
Fax: (918) 995-3773
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2005-02-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050228000026 | I | Family Practice | OK | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 256 | 70 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 78 | 21 | $0 |
| 99495 | Transitional care management services for problem of at least moderate complexity | 54 | 52 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 43 | 19 | $0 |
| G0372 | Physician service required to establish and document the need for a power mobility device | 40 | 35 | $0 |
Insurance plans in this area (ZIP 74066)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | OK | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 13 | 13 |
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