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STERLING GARNELL BLACKHAM DO
NPI 1316517642
Pediatrics in Elkhorn, NE

Active since June 29, 2021PECOS Enrolled
717 N 190TH PLZ STE 3100, ELKHORN, NE 68022(402) 815-1325(402) 815-2020 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 27, 2026, Jun 29, 2021 (2 updates tracked since 2021).

About Sterling Garnell Blackham Do NPPES

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

STERLING GARNELL BLACKHAM DO (NPI 1316517642) is an individual pediatrics provider in Elkhorn, Nebraska, licensed in Nebraska (2772) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Springville.

NPPES Registry Identity

NPI1316517642
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameSTERLING GARNELL BLACKHAMCredential: DO
Location Address717 N 190TH PLZ STE 3100Elkhorn, NE 68022-3988
Mailing AddressPo Box 3755Omaha, NE 68103-0755 · (402) 354-2100 · Fax (402) 354-2155
Phone(402) 815-1325
Fax(402) 815-2020
Sole ProprietorNo
Enumeration DateJune 29, 2021
Last NPPES UpdateApril 27, 20262 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1316517642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NE · 2772✔ Licensed in UT · 14280681-1204
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
717 N 190TH PLZ STE 3100, Elkhorn, NE 68022
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Secondary Practice Location 1

Location 1672 W 400 S Ste 101Springville, UT 84663-3170 · Phone (801) 491-9883 · Fax (801) 489-3141

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sterling Garnell Blackham Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sterling Blackham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physicians Clinic Inc
7.3 mi
Family Medicine
10060 REGENCY CIR
Omaha, NE 68114
  • Reassigned Medicare billing, Nebraska enrollment
  • 544 clinicians in this Medicare group
NPI 1821049156 (402) 354-1500
Revere Health PC
815 mi
Multi-Specialty
1055 N 500 W
Provo, UT 84604
  • Reassigned Medicare billing, Utah enrollment
  • 414 clinicians in this Medicare group
NPI 1093764805 (801) 429-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68022 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHEILA M ISAACSON M.D.
Pediatrics
717 N 190TH PLZ STE 3100
ELKHORN, NE 68022
Douglas County (402) 815-1335

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 Sterling Blackham's NPI number?

The NPI number for Sterling Blackham is 1316517642. It was assigned to this individual provider in the NPPES registry on June 29, 2021.

Where is Sterling Blackham located?

Sterling Blackham practices at 717 N 190th Plz Ste 3100, Elkhorn, NE 68022. The listed phone number is (402) 815-1325.

What is Sterling Blackham's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sterling Blackham enrolled in Medicare?

Yes. Sterling Blackham is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sterling Blackham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sterling Blackham reassigns Medicare benefits to 2 organizations: Physicians Clinic Inc (Omaha, NE) and Revere Health PC (Provo, UT). 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 Sterling Blackham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sterling Blackham accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Sterling Blackham 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 Sterling Blackham was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.