GREGARY M BLACKNER M.D.
NPI 1316050602
Family Medicine in Olympia, WA
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Gregary Blackner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Olympia, WA 98502
- Reassigned Medicare billing, Washington enrollment
- 68 clinicians in this Medicare group
Renton, WA 98057
- Reassigned Medicare billing, Washington enrollment
- 2,678 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.
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.
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.
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.
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.
Which organizations bill Medicare for Gregary Blackner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gregary Blackner reassigns Medicare benefits to 2 organizations: Olympia Orthopaedic Associates PLLC (Olympia, WA) and Kaiser Foundation Health Plan Of Washington (Renton, WA). 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 Gregary Blackner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gregary Blackner accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan 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.
# Gregary M Blackner, M.D. · NPI 1316050602
Family Medicine physician in Olympia, Washington. Individual provider, active in the CMS NPPES registry since August 17, 2006.
## Identity
- **NPI:** 1316050602 (Entity type: Individual)
- **Enumerated:** August 17, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD00026210 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1617 SUMMIT LAKE SHORE RD NW, Olympia, WA 98502-9437
- **Phone:** (801) 682-8190 · **Fax:** (801) 214-1875
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Olympia Orthopaedic Associates PLLC (NPI 1083785398, Olympia, WA); Kaiser Foundation Health Plan Of Washington (NPI 1124264577, Renton, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Washington School Of Medicine, class of 1986
## Record status
- **NPPES last updated:** May 25, 2021
- **Other identifiers:** Medicaid 8455420 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1316050602) · Data from the CMS NPPES public registry.