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GREGARY M BLACKNER M.D.
NPI 1316050602
Family Medicine in Olympia, WA

Active since August 17, 2006PECOS EnrolledAccepts Medicare Assignment
88.48/100
CMS Quality Rating
1617 SUMMIT LAKE SHORE RD NW, OLYMPIA, WA 98502(801) 682-8190(801) 214-1875 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 25, 2021, May 18, 2021, Dec 13, 2016 (3 updates tracked since 2016).

About Gregary M Blackner M.d. NPPES

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

GREGARY M BLACKNER M.D. (NPI 1316050602) is an individual family medicine provider in Olympia, Washington, licensed in Washington (MD00026210) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Olympia, and is a graduate of University Of Washington School Of Medicine (1986).

NPPES Registry Identity

NPI1316050602
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGREGARY M BLACKNERCredential: M.D.
Location Address1617 SUMMIT LAKE SHORE RD NWOlympia, WA 98502-9437
Mailing AddressPo Box 721Kaysville, UT 84037-0721 · (801) 682-8190 · Fax (801) 214-1875
Phone(801) 682-8190
Fax(801) 214-1875
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1986
Enumeration DateAugust 17, 2006
Last NPPES UpdateMay 25, 20213 updates tracked since enumeration
NPPES CertifiedMay 25, 2021
✔ NPI 1316050602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD00026210
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1617 SUMMIT LAKE SHORE RD NW, Olympia, WA 98502
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Secondary Practice Location 1

Location 1700 Lilly Rd NEOlympia, WA 98506-5115 · Phone (360) 923-7000 · Fax (360) 923-7089

Other Identifiers 1

Medicaid8455420WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska.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

Gregary M Blackner 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 ID3779580303
PECOS Enrollment IDI20061108000500
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

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 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.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98502 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
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.

88.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.11
Promoting Interoperability100
Improvement Activities40
Cost86.5

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 Gregary Blackner's NPI number?

The NPI number for Gregary Blackner is 1316050602. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Gregary Blackner located?

Gregary Blackner practices at 1617 Summit Lake Shore Rd NW, Olympia, WA 98502. The listed phone number is (801) 682-8190.

What is Gregary Blackner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gregary Blackner enrolled in Medicare?

Yes. Gregary Blackner 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 Gregary Blackner accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Gregary Blackner 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 Gregary Blackner was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.