GERALD W BLACKBURN DO
NPI 1477597326
Internal Medicine - Infectious Disease in Farmington Hills, MI

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
80.99/100
CMS Quality Rating
28080 GRAND RIVER AVE STE 306, FARMINGTON HILLS, MI 48336(947) 521-8314(248) 478-8864 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gerald W Blackburn Do NPPES

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

GERALD W BLACKBURN DO (NPI 1477597326) is an individual infectious disease provider in Farmington Hills, Michigan, licensed in Michigan (5101006566) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Farmington Hills, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1973).

NPPES Registry Identity

NPI1477597326
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameGERALD W BLACKBURNCredential: DO
Location Address28080 GRAND RIVER AVE STE 306Farmington Hills, MI 48336-5966
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Fax(248) 478-8864
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1973
Enumeration DateJune 15, 2006
Last NPPES UpdateNovember 17, 2020
NPPES CertifiedNovember 17, 2020
NPI 1477597326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in MI · 5101006566
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
28080 GRAND RIVER AVE STE 306, Farmington Hills, MI 48336

Accepted 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

Gerald W Blackburn Do 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 ID3678615820
PECOS Enrollment IDI20100126000612
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
47 services34 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
39 services38 patients

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital - Farmington Hills

Acute Care Hospitals · Farmington Hills, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230151
Location28050 Grand River AvenueFarmington Hills, MI 48336 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48336 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

80.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.25
Promoting Interoperability100
Improvement Activities40
Cost59.73

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.

Internal Medicine (Infectious Disease)
28080 GRAND RIVER AVE STE 306
FARMINGTON HILLS, MI 48336
Podiatrist (Foot & Ankle Surgery)
28080 GRAND RIVER AVE STE 306
FARMINGTON HILLS, MI 48336
Internal Medicine (Infectious Disease)
28080 GRAND RIVER AVE STE 306
FARMINGTON HILLS, MI 48336

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 Gerald Blackburn's NPI number?

The NPI number for Gerald Blackburn is 1477597326. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Gerald Blackburn located?

Gerald Blackburn practices at 28080 Grand River Ave Ste 306, Farmington Hills, MI 48336. The listed phone number is (947) 521-8314.

What is Gerald Blackburn's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Gerald Blackburn enrolled in Medicare?

Yes. Gerald 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 Gerald Blackburn accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Gerald 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 Gerald Blackburn affiliated with any hospitals?

According to CMS data, Gerald Blackburn is affiliated with Beaumont Hospital - Farmington Hills.

When was this NPI record last updated?

The NPPES record for Gerald Blackburn was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.