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JASON MATTHEW BLOCKSOM MD
NPI 1144488495
Surgery - Plastic and Reconstructive Surgery in Indianapolis, IN

Active since May 22, 2008PECOS Enrolled
8402 HARCOURT RD, INDIANAPOLIS, IN 46260(317) 338-6713(317) 338-6615 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 25, 2022, Sep 20, 2021 (2 updates tracked since 2021).

About Jason Matthew Blocksom Md NPPES

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

JASON MATTHEW BLOCKSOM MD (NPI 1144488495) is an individual plastic and reconstructive surgery provider in Indianapolis, Indiana, licensed in Indiana (01068126A) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144488495
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameJASON MATTHEW BLOCKSOMCredential: MD
Location Address8402 HARCOURT RDIndianapolis, IN 46260-2074
Mailing Address8402 Harcourt Rd Ste 830Indianapolis, IN 46260-2096
Phone(317) 338-6713
Fax(317) 338-6615
Sole ProprietorNo
Enumeration DateMay 22, 2008
Last NPPES UpdateMay 25, 20222 updates tracked since enumeration
NPPES CertifiedMay 25, 2022
✔ NPI 1144488495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in IN · 01068126A
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedSurgeryTaxonomy 208600000X · License 01068126A (IN)
8402 HARCOURT RD, Indianapolis, IN 46260
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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)

Jason Matthew Blocksom Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jason Blocksom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Vincent Pediatric Subspecialties
0.1 mi
Pediatrics
2001 W 86TH ST
Indianapolis, IN 46260
  • Reassigned Medicare billing, Indiana enrollment
  • 294 clinicians in this Medicare group
NPI 1013967736 (317) 338-2273
St Vincent Physician Services Hospital And Health Care Center
0.2 mi
Family Medicine
2001 W 86TH ST
Indianapolis, IN 46260
  • Reassigned Medicare billing, Indiana enrollment
  • 510 clinicians in this Medicare group
NPI 1669422234 (317) 338-2273

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

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

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
12%153 patients1/55-star benchmark: 95%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%37 patients5/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
62%226 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%198 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
25%824 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
40%20 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
88%822 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
73%822 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
48%822 patients
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.

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.

DR. RENN J CRICHLOW MD
Orthopaedic Surgery
8402 HARCOURT RD
INDIANAPOLIS, IN 46260
Marion County (317) 802-2000
CENTRAL BRACE & LIMB CO., INC.
Prosthetic/Orthotic Supplier
8402 HARCOURT RD, SUITE 108
INDIANAPOLIS, IN 46260
Marion County (317) 872-1596
DR. MATTHEW DAVID ABBOTT MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
8402 HARCOURT RD
INDIANAPOLIS, IN 46260
Marion County (317) 338-7674
REBECCA MARIE BURNS PNP-PC
Nurse Practitioner (Pediatrics)
8402 HARCOURT RD
INDIANAPOLIS, IN 46260
Marion County (317) 396-1401
HANNAH EDWARDS
Nurse Practitioner (Family)
8402 HARCOURT RD
INDIANAPOLIS, IN 46260
Marion County (317) 396-1300
ORTHOPAEDICS-INDIANAPOLIS, INC
Orthopaedic Surgery
8402 HARCOURT RD, SUITE 125
INDIANAPOLIS, IN 46260
Marion County (317) 802-2000
JANELLE A MILLER NP
Nurse Practitioner
8402 HARCOURT RD
INDIANAPOLIS, IN 46260
Marion County (317) 338-5288
PETER L. WINTERS, M.D. INC.
Specialist
8402 HARCOURT RD, SUITE 620
INDIANAPOLIS, IN 46260
Marion County (317) 872-5295

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 Jason Blocksom's NPI number?

The NPI number for Jason Blocksom is 1144488495. It was assigned to this individual provider in the NPPES registry on May 22, 2008.

Where is Jason Blocksom located?

Jason Blocksom practices at 8402 Harcourt Rd, Indianapolis, IN 46260. The listed phone number is (317) 338-6713.

What is Jason Blocksom's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Jason Blocksom enrolled in Medicare?

Yes. Jason Blocksom is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jason Blocksom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Blocksom reassigns Medicare benefits to 2 organizations: St Vincent Pediatric Subspecialties (Indianapolis, IN) and St Vincent Physician Services Hospital And Health Care Center (Indianapolis, 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 Jason Blocksom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jason Blocksom accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Jason Blocksom 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 Jason Blocksom was last updated on May 25, 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.