DR. MICHAEL BENDELE BLACKMON M.D.
NPI 1043202849
Internal Medicine - Pulmonary Disease in Plano, TX

Active since August 17, 2005PECOS EnrolledAccepts Medicare Assignment
6124 W PARKER RD, SUITE 530, PLANO, TX 75093(214) 778-1075(214) 778-1237 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 11, 2022, Jan 13, 2021, Mar 7, 2019 and 3 more (6 updates tracked since 2017).

About Dr. Michael Bendele Blackmon M.d. NPPES

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

DR. MICHAEL BENDELE BLACKMON M.D. (NPI 1043202849) is an individual pulmonary disease provider in Plano, Texas, licensed in Indiana (01081457A) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043202849
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. MICHAEL BENDELE BLACKMONCredential: M.D.
Location Address6124 W PARKER RD, SUITE 530Plano, TX 75093-8122
Mailing Address6124 W Parker Rd, Suite 530Plano, TX 75093-8122 · (214) 778-1075 · Fax (214) 778-1237
Fax(214) 778-1237
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1995
Enumeration DateAugust 17, 2005
Last NPPES UpdateOctober 11, 20226 updates tracked since enumeration
NPPES CertifiedOctober 11, 2022
NPI 1043202849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in IN · 01081457A Licensed in TX · K0266
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 311912 (LA), K0266 (TX)
6124 W PARKER RD, Plano, TX 75093

Secondary Practice Locations 2

Location 111104 Parkview Circle Dr Ste 410Fort Wayne, IN 46845-0025 · Phone (260) 266-5260 · Fax (260) 266-5279
Location 2309 Jackson StMonroe, LA 71201-7407 · Phone (318) 966-4541 · Fax (318) 966-4543

Other Identifiers 1

Other311912LA · State License

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

Dr. Michael Bendele Blackmon M.d. 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 ID5698960102
PECOS Enrollment IDI20190109000560
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 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
38 services29 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
20 services11 patients

Hospital Affiliations CMS Care Compare

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

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation
Percentage of patients aged 18 years and older with a diagnosis of COPD who had spirometry results documented
97%29 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
82%96 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Collagen based wound filler, dry form, sterile, per gram of collagen A6010
DME-Medical/Surgical Supplies · category DA023N
1 supplier13 claims438 services$29.87 avg. paid by Medicare
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465
DME-Other DME · category DE005N
1 supplier12 claims12 services$922.57 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 20

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

Obstetrics & Gynecology
6124 W PARKER RD, STE 134
PLANO, TX 75093
Clinic/Center (Ambulatory Surgical)
6124 W PARKER RD, PRESBYTERIAN HOSPITAL # 232
PLANO, TX 75093
Clinic/Center (Medical Specialty)
6124 W PARKER RD, MEDICAL OFFICE BUILDING 3, SUITE #330
PLANO, TX 75093
Internal Medicine (Interventional Cardiology)
6124 W PARKER RD, SUITE 536
PLANO, TX 75093
Psychiatry & Neurology (Neurology)
6124 W PARKER RD, SUITE 432
PLANO, TX 75093
Internal Medicine
6124 W PARKER RD, MOB III SUITE 234
PLANO, TX 75093
Physician Assistant
6124 W PARKER RD, #536
PLANO, TX 75093
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6124 W PARKER RD, SUITE 332
PLANO, TX 75093

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 Michael Blackmon's NPI number?

The NPI number for Michael Blackmon is 1043202849. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Michael Blackmon located?

Michael Blackmon practices at 6124 W Parker Rd Suite 530, Plano, TX 75093. The listed phone number is (214) 778-1075.

What is Michael Blackmon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Michael Blackmon enrolled in Medicare?

Yes. Michael Blackmon 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 Michael Blackmon accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, CareSource, Imperial Insurance Companies, Inc. and Oscar Insurance Company list Michael Blackmon 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 Michael Blackmon affiliated with any hospitals?

According to CMS data, Michael Blackmon is affiliated with Parkview Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Blackmon was last updated on October 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.