Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TRISTAN DEE BLACKBURN M.D.
NPI 1417176249
Internal Medicine - Rheumatology in Louisville, KY

Q: What is Tristan Blackburn's NPI number?

The NPI number for Tristan Blackburn is 1417176249. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Q: What is Tristan Blackburn's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Tristan Blackburn was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.

Active since April 24, 2007PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

3991 DUTCHMANS LN STE 208, LOUISVILLE, KY 40207(502) 899-6061(502) 899-6127 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 9, 2026, Nov 17, 2021, Jan 12, 2021 (3 updates tracked since 2021).

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About Tristan Dee Blackburn M.d. NPPES

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

TRISTAN DEE BLACKBURN M.D. (NPI 1417176249) is an individual rheumatology provider in Louisville, Kentucky, licensed in Kentucky (46118) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of University Of Louisville School Of Medicine (2007).

NPPES Registry Identity

NPI1417176249

Entity TypeIndividualFemale

Primary Taxonomy207RR0500X

Provider Legal NameTRISTAN DEE BLACKBURNCredential: M.D.

Location Address3991 DUTCHMANS LN STE 208Louisville, KY 40207-4723

Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116

Phone(502) 899-6061

Fax(502) 899-6127

Sole ProprietorNo

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2007

Enumeration DateApril 24, 2007

Last NPPES UpdateJuly 9, 20263 updates tracked since enumeration

NPPES CertifiedJuly 9, 2026

✔ NPI 1417176249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in KY · 46118

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

3991 DUTCHMANS LN STE 208, Louisville, KY 40207

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Other Identifiers 3

Medicaid7100252740KY

Medicaid201069110IN

Other50052639KY · Passport- Norton Rheumatology Specialists

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Tristan Dee Blackburn 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 ID7618131053

PECOS Enrollment IDI20130823000743

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 4

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

307 services138 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

29 services23 patients

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.

18 services15 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180088

Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County

Emergency services Birthing friendly

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180130

Location4000 Kresge WayLouisville, KY 40207 · Jefferson County

Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180138

Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 2

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

TROY K TAKAGISHI MD

Internal Medicine (Rheumatology)

3991 DUTCHMANS LN STE 208
LOUISVILLE, KY 40207

Jefferson County (502) 899-6061

DR. ANGELO ANTHONY CILIBERTI JR. MD

Internal Medicine (Rheumatology)

3991 DUTCHMANS LN STE 208
LOUISVILLE, KY 40207

Jefferson County (502) 899-6061

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 Tristan Blackburn's NPI number?

The NPI number for Tristan Blackburn is 1417176249. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Where is Tristan Blackburn located?

Tristan Blackburn practices at 3991 Dutchmans Ln Ste 208, Louisville, KY 40207. The listed phone number is (502) 899-6061.

What is Tristan Blackburn's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Tristan Blackburn enrolled in Medicare?

Yes. Tristan Blackburn 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 Tristan Blackburn accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Tristan Blackburn 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 Tristan Blackburn affiliated with any hospitals?

According to CMS data, Tristan Blackburn is affiliated with Norton Hospitals, Inc, Baptist Health Louisville and Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Tristan Blackburn was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.