ROBERT EUGENE BLACKBURN M.D.
NPI 1457318198
Family Medicine in Hilton, NY

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
279 EAST AVE, HILTON HEALTH CARE, P.C., HILTON, NY 14468(585) 392-9100(585) 392-4020 Get Directions Write a Review

NPPES record last updated: November 13, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Robert Eugene Blackburn M.d. NPPES

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

ROBERT EUGENE BLACKBURN M.D. (NPI 1457318198) is an individual family medicine provider in Hilton, New York, licensed in New York (169882) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of University Of Rochester School Of Medicine And Dentistry (1984).

NPPES Registry Identity

NPI1457318198
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT EUGENE BLACKBURNCredential: M.D.
Location Address279 EAST AVE, HILTON HEALTH CARE, P.C.Hilton, NY 14468-1333
Mailing Address279 East Ave, Hilton Health Care, P.c.Hilton, NY 14468-1333 · (585) 392-9100 · Fax (585) 392-4020
Fax(585) 392-4020
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1984
Enumeration DateApril 27, 2006
Last NPPES UpdateNovember 13, 2007
✔ NPI 1457318198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 169882
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
279 EAST AVE, Hilton, NY 14468

Other Identifiers 8

Medicare UPINB72020
OtherMD130DNY · Preferred Care
Medicaid01039918NY
Other5520487NY · Aetna
Other000912964001NY · Healthnow
Other6948NY · Blue Cross Blue Shield
Medicare PIN13243CNY
OtherCFP1698828NY · Workers Compensation

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

Robert Eugene 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 ID2567439995
PECOS Enrollment IDI20100323000497
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 2

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.
89 services56 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.
64 services46 patients

Hospital Affiliations CMS Care Compare

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14468 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
81%77 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
96%97 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers15 claims38 services$5.90 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 9

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

Family Medicine
279 EAST AVE, HILTON HEALTH CARE, P.C.
HILTON, NY 14468
Family Medicine
279 EAST AVE
HILTON, NY 14468
Family Medicine
279 EAST AVE
HILTON, NY 14468
Physician Assistant
279 EAST AVE
HILTON, NY 14468
Physician Assistant
279 EAST AVE
HILTON, NY 14468
Family Medicine
279 EAST AVE
HILTON, NY 14468
Nurse Practitioner (Family)
279 EAST AVE
HILTON, NY 14468
Physician Assistant (Medical)
279 EAST AVE
HILTON, NY 14468

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 Robert Blackburn's NPI number?

The NPI number for Robert Blackburn is 1457318198. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Robert Blackburn located?

Robert Blackburn practices at 279 East Ave Hilton Health Care, P.C., Hilton, NY 14468. The listed phone number is (585) 392-9100.

What is Robert Blackburn's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert Blackburn enrolled in Medicare?

Yes. Robert 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.

Is Robert Blackburn affiliated with any hospitals?

According to CMS data, Robert Blackburn is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Robert Blackburn was last updated on November 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.