DR. SPIROS LEE BLACKBURN M.D.
NPI 1295857555
Neurological Surgery in Houston, TX

Active since April 05, 2007PECOS EnrolledAccepts Medicare Assignment
6400 FANNIN ST, 2800, HOUSTON, TX 77030(713) 486-8000(713) 486-8088 Get Directions Write a Review

NPPES record last updated: January 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Spiros Lee Blackburn M.d. NPPES

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

DR. SPIROS LEE BLACKBURN M.D. (NPI 1295857555) is an individual neurological surgery provider in Houston, Texas, licensed in Texas (Q5623) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Citizens Medical Center, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2004).

NPPES Registry Identity

NPI1295857555
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. SPIROS LEE BLACKBURNCredential: M.D.
Location Address6400 FANNIN ST, 2800Houston, TX 77030-1521
Mailing Address6400 Fannin St Ste 2070Houston, TX 77030-1541 · (713) 486-7747
Fax(713) 486-8088
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2004
Enumeration DateApril 5, 2007
Last NPPES UpdateJanuary 30, 2020
NPI 1295857555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses Licensed in TX · Q5623 Licensed in FL · ME112535 Licensed in MO · 2004016472
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
6400 FANNIN ST, Houston, TX 77030

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

Dr. Spiros Lee Blackburn M.d. 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 ID7214053123
PECOS Enrollment IDI20150928000265
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 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
39 services35 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
35 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients
Insertion of tube into brain artery for diagnosis or treatment with review by radiologist 36226
This procedure involves inserting a thin tube into a brain artery. It aids in diagnosing or treating brain conditions. A radiologist reviews the process to ensure accuracy and safety. It's a critical step in managing brain health effectively.
18 services17 patients
Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist 36224
This procedure involves placing a small tube into your neck artery. It helps diagnose or treat certain conditions. A radiologist, a doctor specializing in medical imaging, reviews the process to ensure accuracy and safety.
17 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Citizens Medical Center

Acute Care Hospitals · Victoria, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450023
Location2701 Hospital DriveVictoria, TX 77901 · Victoria County
Emergency services Birthing friendly

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Memorial Hermann Memorial City Hospital

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450610
Location921 GessnerHouston, TX 77024 · Harris County
Emergency services Birthing friendly

Memorial Hermann Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450848
Location17500 W Grand Parkway SouthSugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

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.

Dentist (General Practice)
6400 FANNIN ST, SUITE 2040
HOUSTON, TX 77030
Surgery (Vascular Surgery)
6400 FANNIN ST
HOUSTON, TX 77030
Physician Assistant (Surgical)
6400 FANNIN ST, 1700
HOUSTON, TX 77030
Surgery (Vascular Surgery)
6400 FANNIN ST, SUITE NUMBER 2850
HOUSTON, TX 77030
Thoracic Surgery (Cardiothoracic Vascular Surgery)
6400 FANNIN ST, STE 3000
HOUSTON, TX 77030
Orthopaedic Surgery
6400 FANNIN ST, SUITE 1620
HOUSTON, TX 77030
Specialist
6400 FANNIN ST, SUITE 2295
HOUSTON, TX 77030
Nurse Practitioner (Family)
6400 FANNIN ST, SUITE 1400
HOUSTON, TX 77030

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 Spiros Blackburn's NPI number?

The NPI number for Spiros Blackburn is 1295857555. It was assigned to this individual provider in the NPPES registry on April 5, 2007.

Where is Spiros Blackburn located?

Spiros Blackburn practices at 6400 Fannin St 2800, Houston, TX 77030. The listed phone number is (713) 486-8000.

What is Spiros Blackburn's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Spiros Blackburn enrolled in Medicare?

Yes. Spiros 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.

What insurance does Spiros Blackburn accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Spiros 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 Spiros Blackburn affiliated with any hospitals?

According to CMS data, Spiros Blackburn is affiliated with Citizens Medical Center, Memorial Hermann - Texas Medical Center, Memorial Hermann Hospital System, Memorial Hermann Memorial City Hospital and Memorial Hermann Sugar Land Hospital.

When was this NPI record last updated?

The NPPES record for Spiros Blackburn was last updated on January 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.