DR. CALEB BLACKBURN DDS, MD
NPI 1215433685
Oral & Maxillofacial Surgery in Knoxville, TN
About Dr. Caleb Blackburn Dds, Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CALEB BLACKBURN DDS, MD (NPI 1215433685) is an individual oral & maxillofacial surgery provider in Knoxville, Tennessee, licensed in Tennessee (73026) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Atrium Health University City, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 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
Dr. Caleb Blackburn Dds, 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 Reassignment
Medicare enrollment records show Caleb Blackburn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Knoxville, TN 37920
- Reassigned Medicare billing, Tennessee enrollment
- Medicare enrollment name: Tennessee Oral Head And Neck Surgery PLLC
- 3 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Atrium Health University City
Acute Care Hospitals · Charlotte, NCUniversity Health System, Inc
Acute Care Hospitals · Knoxville, TNOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KNOXVILLE, TN 37920
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 Caleb Blackburn's NPI number?
The NPI number for Caleb Blackburn is 1215433685. It was assigned to this individual provider in the NPPES registry on April 3, 2018.
Where is Caleb Blackburn located?
Caleb Blackburn practices at 1930 Alcoa Hwy Ste 335, Knoxville, TN 37920. The listed phone number is (865) 305-9000.
What is Caleb Blackburn's specialty?
The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.
Is Caleb Blackburn enrolled in Medicare?
Yes. Caleb Blackburn 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 organization bills Medicare for Caleb Blackburn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Caleb Blackburn reassigns Medicare benefits to Tennessee Maxillofacial Surgery, PLLC (Knoxville, TN). The 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 Caleb Blackburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Caleb Blackburn accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 11 other insurers list Caleb Blackburn 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 Caleb Blackburn affiliated with any hospitals?
According to CMS data, Caleb Blackburn is affiliated with Atrium Health University City and University Health System, Inc.
When was this NPI record last updated?
The NPPES record for Caleb Blackburn was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Dr. Caleb Blackburn, DDS, MD · NPI 1215433685
Oral & Maxillofacial Surgery physician in Knoxville, Tennessee. Individual provider, active in the CMS NPPES registry since April 3, 2018.
## Identity
- **NPI:** 1215433685 (Entity type: Individual)
- **Enumerated:** April 3, 2018
- **Primary specialty:** Oral & Maxillofacial Surgery · taxonomy 204E00000X
- **State license:** 73026 (Tennessee)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1930 ALCOA HWY STE 335, Knoxville, TN 37920-1585
- **Phone:** (865) 305-9000
## 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:** Tennessee Maxillofacial Surgery, PLLC (NPI 1275211914, Knoxville, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Tennessee, Hsc, College Of Medicine, class of 2023
## Record status
- **NPPES last updated:** April 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1215433685) · Data from the CMS NPPES public registry.