DR. CHARLES SAMUEL BLACKADAR (M.D.) – Family Medicine Physician, NPI 1821187899
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,141 FAMILY PRACTICE in WA
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Provider Addresses for DR. CHARLES SAMUEL BLACKADAR (M.D.)
Boone Road, Jackson Park, Jackson Park Support Area, Kitsap County, Washington, 98312, United States
NAVAL HOSPITAL
BREMERTON, WA 983121894
Phone: (360) 475-4426
Fax: (360) 475-4344
Type: Location
5802 LONDONDERRY LOOP NW
BREMERTON, WA 983121197
Phone: (360) 692-2276
Type: Mailing
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: 2015-05-06
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 |
|---|---|---|---|---|
| I20150506000340 | I | Family Practice | AK | 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 | 112 | 81 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 74 | 56 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 56 | 49 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 36 | 31 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 34 | 34 | $0 |
Insurance plans in this area (ZIP 98312)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AK | |
| Physician Assistant | AK | |
| Osteopathic Manipulative Medicine, Family Practice | AK | |
| Physician Assistant | AK | |
| Nurse Practitioner | CA | |
| Physician Assistant | WA | |
| - | AK | |
| Nurse Practitioner | AK | |
| Physician Assistant | AK | |
| Nurse Practitioner | AK |
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