ANDREW T BLACKBURNE MD
NPI 1437412582
Urology in Saint Peters, MO

Q: What is Andrew Blackburne's NPI number?

The NPI number for Andrew Blackburne is 1437412582. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Q: What is Andrew Blackburne's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Blackburne was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 22, 2012PECOS EnrolledAccepts Medicare Assignment

112 PIPER HILL DR STE 12, SAINT PETERS, MO 63376(636) 996-9202(314) 743-1338 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 1, 2021, Sep 15, 2021, May 22, 2019 (3 updates tracked since 2019).

On this page

About Andrew T Blackburne Md NPPES

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

ANDREW T BLACKBURNE MD (NPI 1437412582) is an individual urology provider in Saint Peters, Missouri, licensed in Missouri (2017014167) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Alton Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1437412582

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameANDREW T BLACKBURNECredential: MD

Location Address112 PIPER HILL DR STE 12Saint Peters, MO 63376-1690

Mailing Address12855 N 40 Dr Ste 375Saint Louis, MO 63141-8657 · (314) 567-6071 · Fax (314) 567-3321

Phone(636) 996-9202

Fax(314) 743-1338

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJune 22, 2012

Last NPPES UpdateJune 30, 20263 updates tracked since enumeration

NPPES CertifiedJune 30, 2026

✔ NPI 1437412582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in MO · 2017014167✔ Licensed in IL · 036156280

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

112 PIPER HILL DR STE 12, Saint Peters, MO 63376

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Secondary Practice Locations 2

Location 13195 Phoenix Center DrWashington, MO 63090-5689 · Phone (314) 567-6071

Location 212855 N 40 Dr Ste 375Saint Louis, MO 63141-8657 · Phone (314) 567-6071 · Fax (314) 453-9965

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, UnitedHealthcare.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

Andrew T Blackburne Md 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 ID5496991358

PECOS Enrollment IDI20170619001987, I20211012002345

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

Medicare enrollment records show Andrew Blackburne reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ssm Medical Group, Inc.

8.6 mi

Clinic/Center

1101 HIGHWAY K STE A
O Fallon, MO 63366

Reassigned Medicare billing, Missouri enrollment
697 clinicians in this Medicare group

NPI 1851896146 (844) 766-7200

Urology Of St. Louis, Inc.

14 mi

Specialist

12855 N 40 DR STE 375
Saint Louis, MO 63141

Reassigned Medicare billing, Illinois and Missouri enrollments
55 clinicians in this Medicare group

NPI 1528017191 (314) 567-6071

Osf Multi-Specialty Group

146 mi

Internal Medicine

8600 N STATE ROUTE 91
Peoria, IL 61615

Reassigned Medicare billing, Illinois enrollment
2,944 clinicians in this Medicare group

NPI 1922445527 (309) 683-5050

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 16

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

388 services82 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.

328 services267 patients

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.

309 services235 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

275 services221 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

273 services199 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

198 services169 patients

Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426

Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.

141 services31 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

109 services58 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

86 services61 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

60 services60 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

53 services51 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.

36 services36 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

16 services16 patients

Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm 52234

This procedure involves using a special instrument, an endoscope, to view and treat a small growth in the bladder and urethra. It's a minimally invasive method to remove or destroy growths measuring 0.5-2.0 cm, aiding in better urinary health.

13 services11 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

11 services11 patients

Ultrasound scan of pelvic region through rectum 76872

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Alton Memorial Hospital

Acute Care Hospitals · Alton, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140002

LocationOne Memorial DriveAlton, IL 62002 · Madison County

Emergency services Birthing friendly

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260020

Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County

Emergency services Birthing friendly

Mercy Hospital Washington

Acute Care Hospitals · Washington, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260052

Location901 East 5th StreetWashington, MO 63090 · Franklin County

Emergency services

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260179

Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County

Emergency services Birthing friendly

Barnes-Jewish St Peters Hospital

Acute Care Hospitals · Saint Peters, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260191

Location10 Hospital DrSaint Peters, MO 63376 · St. Charles County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63376 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

2 suppliers34 claims4,220 services$1.68 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

2 suppliers13 claims1,710 services$5.20 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

ASIM RAZZAQ MD

Urology

112 PIPER HILL DR STE 12
SAINT PETERS, MO 63376

St. Charles County (369) 996-9202

MAJDEE ISLAM M.D.

Urology

112 PIPER HILL DR STE 12
SAINT PETERS, MO 63376

St. Charles County (636) 996-9202

NEUROSURGICAL ASSOCIATES OF ST LOUIS LLC

Neurological Surgery

112 PIPER HILL DR STE 12
SAINT PETERS, MO 63376

St. Charles County (888) 828-8608

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 Andrew Blackburne's NPI number?

The NPI number for Andrew Blackburne is 1437412582. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Where is Andrew Blackburne located?

Andrew Blackburne practices at 112 Piper Hill Dr Ste 12, Saint Peters, MO 63376. The listed phone number is (636) 996-9202.

What is Andrew Blackburne's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Andrew Blackburne enrolled in Medicare?

Yes. Andrew Blackburne 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 Andrew Blackburne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Blackburne reassigns Medicare benefits to 3 organizations: Ssm Medical Group, Inc. (O Fallon, MO), Urology Of St. Louis, Inc. (Saint Louis, MO) and Osf Multi-Specialty Group (Peoria, IL). 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 Andrew Blackburne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Blackburne accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and UnitedHealthcare list Andrew Blackburne 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 Andrew Blackburne affiliated with any hospitals?

According to CMS data, Andrew Blackburne is affiliated with Alton Memorial Hospital, Mercy Hospital St Louis, Mercy Hospital Washington, St Lukes Hospital and Barnes-Jewish St Peters Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Blackburne was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.