GREGARY M BLACKNER (M.D.) – Family Medicine Physician, NPI 1316050602
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
109 GENERAL PRACTICE in WA
Provider Addresses for GREGARY M BLACKNER (M.D.)
700 Lilly Rd NE
Olympia, WA 985065115
Phone: (360) 923-7000
Fax: (360) 923-7089
Type: Location
PO BOX 721
KAYSVILLE, UT 840370721
Phone: (801) 682-8190
Fax: (801) 214-1875
Type: Mailing
1617, Summit Lake Shore Road Northwest, Olympia, Thurston County, Washington, 98502, United States
OLYMPIA, WA 985029437
Phone: (801) 682-8190
Fax: (801) 214-1875
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: 2006-11-08
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 |
|---|---|---|---|---|
| I20061108000500 | I | General Practice | WA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 37 | 37 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 26 | 26 | $0 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 12 | 12 | $0 |
| 73564 | X-ray of knee, 4 or more views | 11 | 11 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 98506)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL PRACTICE | WA | 81002 | Urinalysis, manual test | 66 | 60 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | WA | |
| Family Practice | WA | |
| - | WA | |
| - | OH | |
| O P H T H A L M O L O G Y | WA | |
| Family Practice | WI | |
| Internal Medicine | OR | |
| Clinical Social Worker | WA | |
| - | WA |
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