BILLY JACOB BLACKMON MD
NPI 1215058110
Radiology - Diagnostic Radiology in Saint Simons Island, GA

Active since April 02, 2007PECOS EnrolledAccepts Medicare Assignment
82.91/100
CMS Quality Rating
154 ROSEMONT ST, SAINT SIMONS ISLAND, GA 31522(912) 580-8162 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 29, 2019, Sep 1, 2017 (3 updates tracked since 2017).

About Billy Jacob Blackmon Md NPPES

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

BILLY JACOB BLACKMON MD (NPI 1215058110) is an individual diagnostic radiology provider in Saint Simons Island, Georgia, licensed in Georgia (001196) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1215058110
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameBILLY JACOB BLACKMONCredential: MD
Location Address154 ROSEMONT STSaint Simons Island, GA 31522-1777
Mailing Address154 Rosemont StSaint Simons Island, GA 31522-1777 · (912) 580-8162
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2005
Enumeration DateApril 2, 2007
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1215058110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in GA · 001196 Licensed in CO · DR.0058928 Licensed in OH · 35.094883
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
154 ROSEMONT ST, Saint Simons Island, GA 31522

Secondary Practice Location 1

Location 1234 Goodman StCincinnati, OH 45219-2364 · Phone (513) 584-7355 · Fax (513) 584-0431

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

Billy Jacob Blackmon 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.

PECOS PAC ID4284758061
PECOS Enrollment IDI20100831000519, I20200131001171, I20230504001835
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 70

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.

Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
1,954 services1,878 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
1,454 services1,398 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
739 services725 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
681 services668 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
677 services665 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
240 services238 patients

Hospital Affiliations CMS Care Compare 5

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

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Ascension Sacred Heart Bay

Acute Care Hospitals · Panama City, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100026
Location615 N Bonita AvePanama City, FL 32401 · Bay County
Emergency services

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100087
Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County
Emergency services Birthing friendly

Sarasota Memorial Hospital - Venice

Acute Care Hospitals · North Venice, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100359
Location2600 Laurel Rd ENorth Venice, FL 34275 · Sarasota County
Emergency services Birthing friendly

Morgan Medical Center

Critical Access Hospitals · Madison, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111304
Location1740 Lions Club RoadMadison, GA 30650 · Morgan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31522 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
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.

82.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.08
Promoting Interoperability96
Improvement Activities40
Cost72.3

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 Billy Blackmon's NPI number?

The NPI number for Billy Blackmon is 1215058110. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Where is Billy Blackmon located?

Billy Blackmon practices at 154 Rosemont St, Saint Simons Island, GA 31522. The listed phone number is (912) 580-8162.

What is Billy Blackmon's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Billy Blackmon enrolled in Medicare?

Yes. Billy 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 Billy Blackmon accept?

Health plans from Blue Cross and Blue Shield of NC, CareSource, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Billy 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 Billy Blackmon affiliated with any hospitals?

According to CMS data, Billy Blackmon is affiliated with Sacred Heart Hospital, Ascension Sacred Heart Bay, Sarasota Memorial Hospital, Sarasota Memorial Hospital - Venice and Morgan Medical Center.

When was this NPI record last updated?

The NPPES record for Billy 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.