EDWARD B BLACKMON JR. MD
NPI 1114092251
Obstetrics & Gynecology in Jourdanton, TX
About Edward B Blackmon Jr. Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWARD B BLACKMON JR. MD (NPI 1114092251) is an individual obstetrics & gynecology provider in Jourdanton, Texas, licensed in Texas (M0326) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Medical University Of South Carolina College Of Medicine (1978).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted 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
Edward B Blackmon Jr. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Edward Blackmon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Antonio, TX 78224
- Reassigned Medicare billing, Texas enrollment
- 31 clinicians in this Medicare group
Austin, TX 78758
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Obhg Texas Holdings PA
- 998 clinicians in this Medicare group
Cedar Park, TX 78613
- Reassigned Medicare billing, Texas enrollment
- 123 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78026 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Edward Blackmon's NPI number?
The NPI number for Edward Blackmon is 1114092251. It was assigned to this individual provider in the NPPES registry on November 22, 2006.
Where is Edward Blackmon located?
Edward Blackmon practices at 1907 Highway 97 E Ste 220, Jourdanton, TX 78026. The listed phone number is (830) 769-5916.
What is Edward Blackmon's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Edward Blackmon enrolled in Medicare?
Yes. Edward 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.
Which organizations bill Medicare for Edward Blackmon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Blackmon reassigns Medicare benefits to 3 organizations: Westover Hills Women's Health PA (San Antonio, TX), Obhg Texas Holdings, P.A. (Austin, TX) and Timberland Medical Group (Cedar Park, TX). 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 Edward Blackmon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edward Blackmon accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Edward 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 Edward Blackmon was last updated on July 21, 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.
# Edward B Blackmon Jr., MD · NPI 1114092251
Obstetrics & Gynecology physician in Jourdanton, Texas. Individual provider, active in the CMS NPPES registry since November 22, 2006.
## Identity
- **NPI:** 1114092251 (Entity type: Individual)
- **Enumerated:** November 22, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** M0326 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1907 HIGHWAY 97 E STE 220, Jourdanton, TX 78026-1538
- **Phone:** (830) 769-5916 · **Fax:** (830) 769-5917
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Westover Hills Women's Health PA (NPI 1477765824, San Antonio, TX); Obhg Texas Holdings, P.A. (NPI 1083917769, Austin, TX); Timberland Medical Group (NPI 1528061157, Cedar Park, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical University Of South Carolina College Of Medicine, class of 1978
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Medicaid 171496601 (TX); Other 349733YLLW (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1114092251) · Data from the CMS NPPES public registry.