JEFFREY M BLACKMON (M.D.) – Emergency Medicine Physician, NPI 1710901996
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,083 FAMILY PRACTICE in OR
Provider Addresses for JEFFREY M BLACKMON (M.D.)
929 SW SIMPSON AVE STE 300
BEND, OR 977023599
Phone: (541) 389-7741
Fax: (541) 278-8375
Type: Location
101 KINGTON LN
CHICKAMAUGA, GA 307071991
Phone: (067) 375-9400
Fax: (067) 375-9491
Type: Mailing
PO BOX 1517
PENDLETON, OR 978010410
Phone: (877) 708-1119
Fax: (541) 278-8349
Type: Mailing
Floyd Medical Center, 304, Turner McCall Boulevard, DeSoto Homes, Rome, Floyd County, Georgia, 30165, United States
ROME, GA 301655621
Phone: (706) 509-6122
Fax: (706) 509-4608
Type: Mailing
420, 2nd Avenue, Rome, Floyd County, Georgia, 30161, United States
SUITE 103
ROME, GA 301613224
Phone: (706) 509-3278
Fax: (706) 509-4608
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $218.
Total Amount is formed as General ($218) + Research ($0) + Ownership ($0) = $218.
Last reported payment date: 2023-06-01 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($39).
Total Amount
$218
General + Research + Ownership
Payments
10
Total payment records
General Amount
$218
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-01
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-03-21
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 |
|---|---|---|---|---|
| I20050520000500 | I | Family Practice | GA | TBD |
| I20201104002445 | I | Family Practice | TN | TBD |
| I20230321000952 | I | Family Practice | OR | 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 | 237 | 192 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 79 | 79 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 67 | 66 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 61 | 61 | $0 |
| 83036 | Hemoglobin a1c level | 26 | 26 | $0 |
Insurance plans in this area (ZIP 97702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OR | |
| Nurse Practitioner | OR | |
| A L L E R G Y/ I M M U N O L O G Y | OR | |
| - | OR | |
| Family Practice | OR | |
| - | OR | |
| - | OR | |
| Physician Assistant | OR | |
| Family Practice | OR | |
| Nurse Practitioner | OR |
Reviews
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