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DR. MATTHEW BLACKMON DC
NPI 1073970521
Chiropractor in La Porte, IN

Active since January 27, 2016
204 LEGACY PLZ W, LA PORTE, IN 46350(219) 476-7246(219) 476-1713 Get Directions Write a Review

NPPES record last updated: January 13, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 13, 2018, Jan 27, 2016 (2 updates tracked since 2016).

About Dr. Matthew Blackmon Dc NPPES

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

DR. MATTHEW BLACKMON DC (NPI 1073970521) is an individual chiropractor in La Porte, Indiana, licensed in Indiana (08002885A) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1073970521
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MATTHEW BLACKMONCredential: DC
Location Address204 LEGACY PLZ WLa Porte, IN 46350-5285
Mailing Address219 E Ireland RdSouth Bend, IN 46614-2653 · (574) 291-1000
Phone(219) 476-7246
Fax(219) 476-1713
Sole ProprietorYes
Enumeration DateJanuary 27, 2016
Last NPPES UpdateJanuary 13, 20182 updates tracked since enumeration
✔ NPI 1073970521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IN · 08002885A
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
204 LEGACY PLZ W, La Porte, IN 46350
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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 from Meridian, Ambetter Health 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 (PECOS)

Dr. Matthew Blackmon Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

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

Yensid Jr LLC
26 mi
Chiropractor
3027 MISHAWAKA AVE
South Bend, IN 46615
  • Reassigned Medicare billing, Indiana enrollment
  • 2 clinicians in this Medicare group
NPI 1295110989 (574) 259-9355
Allen County Family & Sports Chiropractic
86 mi
Sports Physician
3835 W JEFFERSON BLVD
Fort Wayne, IN 46804
  • Reassigned Medicare billing, Indiana enrollment
  • 4 clinicians in this Medicare group
NPI 1205933165 (260) 432-7339

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

Other Providers at the Same Location NPPES 2

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

APRIL DONALD FNP
Nurse Practitioner (Family)
204 LEGACY PLZ W
LA PORTE, IN 46350
Laporte County (219) 476-7246
CENTERS FOR PAIN CONTROL, INC
Pain Medicine (Pain Medicine)
204 LEGACY PLZ W
LA PORTE, IN 46350
Laporte County (219) 326-7246

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 Matthew Blackmon's NPI number?

The NPI number for Matthew Blackmon is 1073970521. It was assigned to this individual provider in the NPPES registry on January 27, 2016.

Where is Matthew Blackmon located?

Matthew Blackmon practices at 204 Legacy Plz W, La Porte, IN 46350. The listed phone number is (219) 476-7246.

What is Matthew Blackmon's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Matthew Blackmon enrolled in Medicare?

Yes. Matthew Blackmon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Matthew Blackmon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Blackmon reassigns Medicare benefits to 2 organizations: Yensid Jr LLC (South Bend, IN) and Allen County Family & Sports Chiropractic (Fort Wayne, IN). 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 Matthew Blackmon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Blackmon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Providence Health Plan list Matthew 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.

When was this NPI record last updated?

The NPPES record for Matthew Blackmon was last updated on January 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.