DR. JEFFREY BLACKWELL (MD, PHD) – Family Medicine Physician, NPI 1013544774
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,174 FAMILY PRACTICE in VA
Provider Addresses for DR. JEFFREY BLACKWELL (MD, PHD)
1021 W OAKLAND AVE STE 310
JOHNSON CITY, TN 376042192
Phone: (423) 952-2111
Type: Mailing
12180 ALDER ST
MEADOWVIEW, VA 24361
Phone: (276) 695-0205
Type: Location
16000 Johnston Memorial Dr Ste 213
Abingdon, VA 242110001
Phone: (276) 258-2600
Type: Location
636 S Monte Vista Dr
Glade Spring, VA 243402712
Phone: (276) 429-5163
Type: Location
1785 W Lee Hwy
Wytheville, VA 243821437
Phone: (276) 228-6499
Type: Location
208 MEDICAL PARK BLVD
BRISTOL, TN 376207343
Phone: (423) 989-4050
Fax: (423) 990-3044
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $335.
Total Amount is formed as General ($335) + Research ($0) + Ownership ($0) = $335.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Novo Nordisk Inc ($181).
Total Amount
$335
General + Research + Ownership
Payments
15
Total payment records
General Amount
$335
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
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: 2023-08-02
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 |
|---|---|---|---|---|
| I20230802002747 | I | Family Practice | VA | 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 | 20 | 20 | $0 |
Insurance plans in this area (ZIP 37604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | VA | |
| - | VA |
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