1. Home
  2. Directory
  3. North Carolina
  4. Wilson
  5. Podiatrist
  6. NPI Profile

DR. KENDALL LEON BLACKWELL DPM
NPI 1366483638
Podiatrist - Primary Podiatric Medicine in Wilson, NC

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
1704 GLENDALE DR SW, SUITE A, WILSON, NC 27893(252) 237-0138(252) 237-7903 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kendall Leon Blackwell Dpm NPPES

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

DR. KENDALL LEON BLACKWELL DPM (NPI 1366483638) is an individual primary podiatric medicine provider in Wilson, North Carolina, licensed in North Carolina (238) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Wilson Medical Center, and is a graduate of Kent State University College Of Podiatric Medicine (1987).

NPPES Registry Identity

NPI1366483638
Entity TypeIndividualMale
Primary Taxonomy213EP1101X
Provider Legal NameDR. KENDALL LEON BLACKWELLCredential: DPM
Location Address1704 GLENDALE DR SW, SUITE AWilson, NC 27893-4678
Mailing Address1704 Glendale Dr SwWilson, NC 27893-4678 · (252) 237-0138
Phone(252) 237-0138
Fax(252) 237-7903
Sole ProprietorNo
Medical School CMSKent State University College Of Podiatric MedicineGraduated 1987
Enumeration DateJune 9, 2006
Last NPPES UpdateAugust 9, 2022
NPPES CertifiedAugust 9, 2022
✔ NPI 1366483638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License✔ Licensed in NC · 238
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 238 (NC)
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License 238 (NC)
1704 GLENDALE DR SW, Wilson, NC 27893
Open in Google Maps ↗

Other Identifiers 1

Medicaid79-0804GNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of NC and more.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. Kendall Leon Blackwell Dpm 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 ID9133318553
PECOS Enrollment IDI20110114000872
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 9

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.
168 services106 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
136 services136 patients
X-ray of foot, 2 views 73620
An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.
50 services44 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
43 services41 patients
Permanent removal fingernail or toenail 11750
Permanent removal of a fingernail or toenail, also known as avulsion, is a procedure performed to treat nail infections or severe ingrown nails. The nail is carefully removed under local anesthesia. After removal, a chemical is applied to prevent nail regrowth, ensuring the issue does not recur.
37 services34 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
35 services32 patients

Hospital Affiliations CMS Care Compare

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

Wilson Medical Center

Acute Care Hospitals · Wilson, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340126
Location1705 S Tarboro StWilson, NC 27893 · Wilson County
Emergency services Birthing friendly

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.

Reported Quality Measures

Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
38%1,362 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
70%1,365 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

WILSON PODIATRY ASSOCIATES, PA
Podiatrist
1704 GLENDALE DR SW, SUITE A
WILSON, NC 27893
Wilson County (252) 237-0138
360 WELLNESS & NUTRITION, PA
Family Medicine
1704 GLENDALE DR SW
WILSON, NC 27893
Wilson County (252) 237-1225
DOUGLAS C BREWER MD
Internal Medicine
1704 GLENDALE DR SW, SUITE B
WILSON, NC 27893
Wilson County (252) 237-5000
DR. BRIAN WESLEY BURKHART MD, MPH
Family Medicine
1704 GLENDALE DR SW
WILSON, NC 27893
Wilson County (252) 246-8960

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 Kendall Blackwell's NPI number?

The NPI number for Kendall Blackwell is 1366483638. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Kendall Blackwell located?

Kendall Blackwell practices at 1704 Glendale Dr SW Suite A, Wilson, NC 27893. The listed phone number is (252) 237-0138.

What is Kendall Blackwell's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Kendall Blackwell enrolled in Medicare?

Yes. Kendall Blackwell 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 Kendall Blackwell accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of NC and UnitedHealthcare list Kendall Blackwell 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 Kendall Blackwell affiliated with any hospitals?

According to CMS data, Kendall Blackwell is affiliated with Wilson Medical Center.

When was this NPI record last updated?

The NPPES record for Kendall Blackwell was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.