DR. ROBERT CHARLES BLACKMON IV M.D. - NPI 1407987076 - Internal Medicine in Washington, DC

Q: What is Robert Blackmon's NPI number?

The NPI number for Robert Blackmon is 1407987076. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Q: What is Robert Blackmon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Q: When was this NPI record last updated?

The NPPES record for Robert Blackmon was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Robert Charles Blackmon Iv M.d. NPPES

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

DR. ROBERT CHARLES BLACKMON IV M.D. (NPI 1407987076) is an individual geriatric medicine provider in Washington, District Of Columbia, licensed in District Of Columbia (MD035847) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407987076

Entity TypeIndividualMale

Primary Taxonomy207RG0300X

Provider Legal NameDR. ROBERT CHARLES BLACKMON IVCredential: M.D.

Location Address3720 MARTIN LUTHER KING JR AVE SEWashington, DC 20032-1548

Mailing AddressPo Box 2948Washington, DC 20013-2948 · (660) 232-1857

Phone(202) 561-4190

Sole ProprietorNo

Enumeration DateMarch 8, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1407987076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in DC · MD035847

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

3720 MARTIN LUTHER KING JR AVE SE, Washington, DC 20032

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Robert Charles Blackmon Iv M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20032 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

$194.86 typical visit price

range $65.18 – $194.86

Typical copayment $48.71 (range $16.29 – $48.71)

Most-billed visit code 99205

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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 7

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

DR. JAMAL KAVON GWATHNEY MD, MPH, FAAFP

Family Medicine