BRIAN K BLACKWELL MD
NPI 1447238738
Internal Medicine in New Canton, VA

Active since January 06, 2006PECOS EnrolledAccepts Medicare Assignment
62.13/100
CMS Quality Rating
25892 N. JAMES MADISON HWY, NEW CANTON, VA 23123(434) 581-3271(434) 581-1105 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brian K Blackwell Md NPPES

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

BRIAN K BLACKWELL MD (NPI 1447238738) is an individual internal medicine provider in New Canton, Virginia, licensed in Virginia (0101046735) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Centra Southside Community Hospital, Inc, and maintains a secondary practice location in Richmond.

NPPES Registry Identity

NPI1447238738
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBRIAN K BLACKWELLCredential: MD
Location Address25892 N. JAMES MADISON HWYNew Canton, VA 23123-0220
Mailing AddressPo Box 220New Canton, VA 23123-0220 · (434) 581-3271 · Fax (434) 581-1105
Fax(434) 581-1105
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1990
Enumeration DateJanuary 6, 2006
Last NPPES UpdateOctober 2, 2023
NPPES CertifiedOctober 2, 2023
NPI 1447238738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in VA · 0101046735
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
25892 N. JAMES MADISON HWY, New Canton, VA 23123

Secondary Practice Location 1

Location 13370 Pump RdRichmond, VA 23233-1130 · Phone (804) 360-8061

Other Identifiers 1

Other110244531VA · Railroad Medicare

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

Brian K Blackwell 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 ID3779487210
PECOS Enrollment IDI20031201000272, I20231018001866
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 29

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.
400 services370 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.
318 services297 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
241 services230 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.
215 services196 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
201 services192 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
160 services150 patients

Hospital Affiliations CMS Care Compare

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

Centra Southside Community Hospital, Inc

Acute Care Hospitals · Farmville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490090
Location800 Oak StreetFarmville, VA 23901 · Prince Edward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23123 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

62.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.43
Promoting Interoperability0
Improvement Activities40
Cost84.66

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.

Clinic/Center (Federally Qualified Health Center (FQHC))
25892 N. JAMES MADISON HWY
NEW CANTON, VA 23123
Nurse Practitioner (Pediatrics)
25892 N. JAMES MADISON HWY
NEW CANTON, VA 23123
Internal Medicine
25892 N. JAMES MADISON HWY
NEW CANTON, VA 23123
Internal Medicine
25892 N. JAMES MADISON HWY
NEW CANTON, VA 23123

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 Brian Blackwell's NPI number?

The NPI number for Brian Blackwell is 1447238738. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Where is Brian Blackwell located?

Brian Blackwell practices at 25892 N. James Madison Hwy, New Canton, VA 23123. The listed phone number is (434) 581-3271.

What is Brian Blackwell's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Brian Blackwell enrolled in Medicare?

Yes. Brian 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.

Is Brian Blackwell affiliated with any hospitals?

According to CMS data, Brian Blackwell is affiliated with Centra Southside Community Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Brian Blackwell was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.