1. Home
  2. Directory
  3. Idaho
  4. Meridian
  5. Orthopaedic Surgery
  6. NPI Profile

BLACKROCK ORTHOPEDIC SPECIALISTS LLC
NPI 1104570084
Orthopaedic Surgery in Meridian, ID

Active since February 09, 2022
2960 E. ST. LUKES ST., SUITE 200, MERIDIAN, ID 83642(801) 928-8290 Get Directions Write a Review

NPPES record last updated: February 18, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 18, 2022, Feb 9, 2022 (2 updates tracked since 2022).

About Blackrock Orthopedic Specialists Llc NPPES

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

BLACKROCK ORTHOPEDIC SPECIALISTS LLC (NPI 1104570084) is a healthcare organization registered as an orthopaedic surgery in Meridian, Idaho and active in the NPI registry since February 2022. The organization lists Corbett Dee Winegar, Owner, as its authorized official.

NPPES Registry Identity

NPI1104570084
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameBLACKROCK ORTHOPEDIC SPECIALISTS LLC
Location Address2960 E. ST. LUKES ST., SUITE 200Meridian, ID 83642
Mailing Address2960 E. St. Lukes St., Suite 200Meridian, ID 83642 · (801) 928-8290
Phone(801) 928-8290
Organization SubpartNo
Authorized OfficialCorbett Dee WinegarOwner · (801) 928-8290
Enumeration DateFebruary 9, 2022
Last NPPES UpdateFebruary 18, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2022
✔ NPI 1104570084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2960 E. ST. LUKES ST., Meridian, ID 83642
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blackrock Orthopedic Specialists Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Blackrock Orthopedic Specialists LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Corbett Winegar, M.D.
Orthopedic Surgery
NPI 1669632386
2960 E. ST LUKES ST. SUITE 200
Meridian, ID 83642
(801) 928-8290
✔ PECOS✔ Accepts MedicareSame address
Ray Jensen, D.O.
Orthopedic Surgery
NPI 1962716761
311 N 27TH ST
Spearfish, SD 57783
(605) 569-6000
✔ PECOS✔ Accepts Medicare630 mi

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

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 Blackrock Orthopedic Specialists LLC's NPI number?

The NPI number for Blackrock Orthopedic Specialists LLC is 1104570084. It was assigned to this organization in the NPPES registry on February 9, 2022.

Where is Blackrock Orthopedic Specialists LLC located?

Blackrock Orthopedic Specialists LLC is located at 2960 E. St. Lukes St. Suite 200, Meridian, ID 83642. The listed phone number is (801) 928-8290.

What is Blackrock Orthopedic Specialists LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Blackrock Orthopedic Specialists LLC enrolled in Medicare?

Yes. Blackrock Orthopedic Specialists LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blackrock Orthopedic Specialists LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Orthopedic Surgery, reassign their Medicare billing to Blackrock Orthopedic Specialists LLC. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Blackrock Orthopedic Specialists LLC accept?

Health plans from Moda Health Plan, Inc. and Molina Healthcare list Blackrock Orthopedic Specialists LLC 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 Blackrock Orthopedic Specialists LLC was last updated on February 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.