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DR. BAYLOR EMERSON BLICKENSTAFF MD
NPI 1023674272
Orthopaedic Surgery - Sports Medicine in Birmingham, AL

Active since May 14, 2019PECOS EnrolledAccepts Medicare Assignment
805 SAINT VINCENTS DR STE 100, BIRMINGHAM, AL 35205(205) 939-3699(205) 484-2585 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 5, 2025, Jul 25, 2024, Jun 7, 2024 and 1 more (4 updates tracked since 2019).

About Dr. Baylor Emerson Blickenstaff Md NPPES

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

DR. BAYLOR EMERSON BLICKENSTAFF MD (NPI 1023674272) is an individual sports medicine provider in Birmingham, Alabama, licensed in Alabama (MD.48506) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with The Medical Center (bowling Green), and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2019).

NPPES Registry Identity

NPI1023674272
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. BAYLOR EMERSON BLICKENSTAFFCredential: MD
Location Address805 SAINT VINCENTS DR STE 100Birmingham, AL 35205-1638
Mailing Address805 St Vincents Dr Ste 100Birmingham, AL 35205-1638 · (205) 939-3699 · Fax (205) 484-2585
Phone(205) 939-3699
Fax(205) 484-2585
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2019
Enumeration DateMay 14, 2019
Last NPPES UpdateMay 5, 20254 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
✔ NPI 1023674272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in AL · MD.48506
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License MD.48506 (AL)
805 SAINT VINCENTS DR STE 100, Birmingham, AL 35205
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Baylor Emerson Blickenstaff Md 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 ID1951845361
PECOS Enrollment IDI20240626003310, I20250910001318
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Baylor Blickenstaff reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Stv Sports Medicine & Orthopedics LLC
Same address
Neuromusculoskeletal Medicine, Sports Medicine
805 SAINT VINCENTS DR, STE 100
Birmingham, AL 35205
  • Reassigned Medicare billing, Alabama enrollment
  • 93 clinicians in this Medicare group
NPI 1467818575 (205) 939-3699
Commonwealth Health Corporation, Inc.
220 mi
Specialist
1100 BROOKHAVEN RD
Franklin, KY 42134
  • Reassigned Medicare billing, Kentucky enrollment
  • 319 clinicians in this Medicare group
NPI 1497279418 (270) 253-3147

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 5

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

The Medical Center (bowling Green)

Acute Care Hospitals · Bowling Green, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180013
Location250 Park StreetBowling Green, KY 42101 · Warren County
Emergency services Birthing friendly

Logan Memorial Hospital

Acute Care Hospitals · Russellville, KY
OwnershipProprietary
CMS Certification Number180066
Location1625 Nashville StreetRussellville, KY 42276 · Logan County
Emergency services

The Medical Center At Franklin

Critical Access Hospitals · Franklin, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181318
Location1100 Brookhaven RoadFranklin, KY 42135 · Simpson County
Emergency services

The Medical Center At Scottsville

Critical Access Hospitals · Scottsville, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181324
Location456 Burnley RoadScottsville, KY 42164 · Allen County
Emergency services

The Medical Center At Albany

Critical Access Hospitals · Albany, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181333
Location723 Burkesville RoadAlbany, KY 42602 · Clinton County
Emergency services

Other Providers at the Same Location NPPES 20

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

EMILY SKINNER CAHILL M.S./LAT/ATC
Specialist/Technologist (Athletic Trainer)
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL 35205
Jefferson County (205) 939-3699
DR. JARED BRUCE WATSON MD
Orthopaedic Surgery
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL 35205
Jefferson County (205) 939-3699
BRANDON KYLE KIMBREL MD
Orthopaedic Surgery
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL 35205
Jefferson County (205) 939-3699
JONATHAN THOMPSON BERRY OT
Occupational Therapist
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL 35205
Jefferson County (205) 939-3699
DR. RICARDO E. COLBERG MD
Physical Medicine & Rehabilitation (Sports Medicine)
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL 35205
Jefferson County (205) 939-3699
MICHAEL CHARLES O'BRIEN MD
Orthopaedic Surgery
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL 35205
Jefferson County (205) 939-3699
MADISON BARRON KIRK PA-C
Physician Assistant
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL 35205
Jefferson County (205) 939-3699
DEBORAH J BONDS PA-C
Physician Assistant
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL 35205
Jefferson County (205) 939-3699

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 Baylor Blickenstaff's NPI number?

The NPI number for Baylor Blickenstaff is 1023674272. It was assigned to this individual provider in the NPPES registry on May 14, 2019.

Where is Baylor Blickenstaff located?

Baylor Blickenstaff practices at 805 Saint Vincents Dr Ste 100, Birmingham, AL 35205. The listed phone number is (205) 939-3699.

What is Baylor Blickenstaff's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Baylor Blickenstaff enrolled in Medicare?

Yes. Baylor Blickenstaff 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.

Which organizations bill Medicare for Baylor Blickenstaff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Baylor Blickenstaff reassigns Medicare benefits to 2 organizations: Stv Sports Medicine & Orthopedics LLC (Birmingham, AL) and Commonwealth Health Corporation, Inc. (Franklin, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Baylor Blickenstaff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Baylor Blickenstaff accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Baylor Blickenstaff 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 Baylor Blickenstaff affiliated with any hospitals?

According to CMS data, Baylor Blickenstaff is affiliated with The Medical Center (bowling Green), Logan Memorial Hospital, The Medical Center At Franklin, The Medical Center At Scottsville and The Medical Center At Albany.

When was this NPI record last updated?

The NPPES record for Baylor Blickenstaff was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.