DOUGLAS BLACKLIDGE DPM
NPI 1003901133
Podiatrist - Foot & Ankle Surgery in Kokomo, IN

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
2341 W LINCOLN RD, KOKOMO, IN 46902(844) 424-3668(317) 575-6909 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Douglas Blacklidge Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS BLACKLIDGE DPM (NPI 1003901133) is an individual foot & ankle surgery provider in Kokomo, Indiana, licensed in Indiana (070007898) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Community Howard Regional Health Inc., and is a graduate of William M. Scholl College Of Podiatric Medicine (1992).

NPPES Registry Identity

NPI1003901133
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDOUGLAS BLACKLIDGECredential: DPM
Location Address2341 W LINCOLN RDKokomo, IN 46902-8012
Mailing Address2341 W Lincoln RdKokomo, IN 46902-8012 · (844) 424-3668 · Fax (317) 575-6909
Fax(317) 575-6909
Sole ProprietorNo
Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 1992
Enumeration DateOctober 4, 2006
Last NPPES UpdateJanuary 22, 2024
NPPES CertifiedJanuary 22, 2024
NPI 1003901133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in IN · 070007898
2341 W LINCOLN RD, Kokomo, IN 46902

Other Identifiers 1

Medicaid200058240IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Douglas Blacklidge Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274505656
PECOS Enrollment IDI20040806000722
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
338 services205 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
202 services118 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
147 services147 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
70 services15 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
63 services38 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
50 services39 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Howard Regional Health Inc.

Acute Care Hospitals · Kokomo, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150007
Location3500 S Lafountain StKokomo, IN 46902 · Howard County
Emergency services Birthing friendly

Witham Health Services

Acute Care Hospitals · Lebanon, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150104
Location2605 N Lebanon StLebanon, IN 46052 · Boone County
Emergency services Birthing friendly

Indiana University Health Arnett Hospital

Acute Care Hospitals · Lafayette, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150173
Location5165 Mccarty LnLafayette, IN 47905 · Tippecanoe County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L4360
DME-Orthotic Devices · category DF003N
2 suppliers17 claims17 services$188.81 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
2341 W LINCOLN RD
KOKOMO, IN 46902
Podiatrist (Foot & Ankle Surgery)
2341 W LINCOLN RD
KOKOMO, IN 46902
Podiatrist
2341 W LINCOLN RD
KOKOMO, IN 46902
Durable Medical Equipment & Medical Supplies
2341 W LINCOLN RD
KOKOMO, IN 46902

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Blacklidge's NPI number?

The NPI number for Douglas Blacklidge is 1003901133. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Douglas Blacklidge located?

Douglas Blacklidge practices at 2341 W Lincoln Rd, Kokomo, IN 46902. The listed phone number is (844) 424-3668.

What is Douglas Blacklidge's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Douglas Blacklidge enrolled in Medicare?

Yes. Douglas Blacklidge is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Douglas Blacklidge accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Douglas Blacklidge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Douglas Blacklidge affiliated with any hospitals?

According to CMS data, Douglas Blacklidge is affiliated with Community Howard Regional Health Inc., Witham Health Services and Indiana University Health Arnett Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Blacklidge was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.