CONNER OWEN BLACKWELL MD
NPI 1578068102
Obstetrics & Gynecology in Dayton, OH

Active since March 26, 2018PECOS EnrolledAccepts Medicare Assignment
77.04/100
CMS Quality Rating
30 E APPLE ST STE 6258, DAYTON, OH 45409(937) 245-7200 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 21, 2026, Jun 27, 2025, Nov 23, 2022 and 1 more (4 updates tracked since 2018).

About Conner Owen Blackwell Md NPPES

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

CONNER OWEN BLACKWELL MD (NPI 1578068102) is an individual obstetrics & gynecology provider in Dayton, Ohio, licensed in Ohio (35.146641) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1578068102
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameCONNER OWEN BLACKWELLCredential: MD
Location Address30 E APPLE ST STE 6258Dayton, OH 45409-2939
Mailing Address1071 Dapple CtFairborn, OH 45324-8772
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2018
Enumeration DateMarch 26, 2018
Last NPPES UpdateAugust 21, 20264 updates tracked since enumeration
NPPES CertifiedAugust 21, 2026
✔ NPI 1578068102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in OH · 35.146641
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License 111505 (GA)
30 E APPLE ST STE 6258, Dayton, OH 45409

Secondary Practice Locations 3

Location 11906 Belleview Ave SERoanoke, VA 24014-1838 · Phone (540) 981-7000
Location 2400 Sugar Camp Cir Ste 101Oakwood, OH 45409-1981 · Phone (937) 567-6700
Location 3161 Wyoming St Ste 100WDayton, OH 45409-2741 · Phone (937) 208-0500

Accepted 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

Conner Owen 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 ID2860740636
PECOS Enrollment IDI20221205002888
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

4

Medicare enrollment records show Conner Blackwell reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
30 E APPLE ST, STE 6258
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
  • 812 clinicians in this Medicare group
Urgent Care
3000 MEADOW POND CT, STE 200
Grove City, OH 43123
  • Reassigned Medicare billing, Ohio enrollment
  • 258 clinicians in this Medicare group
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

77.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.82
Promoting Interoperability100
Improvement Activities40
Cost48.67

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
30 E APPLE ST STE 6258
DAYTON, OH 45409
Student in an Organized Health Care Education/Training Program
30 E APPLE ST STE 6258
DAYTON, OH 45409
Student in an Organized Health Care Education/Training Program
30 E APPLE ST STE 6258
DAYTON, OH 45409
Student in an Organized Health Care Education/Training Program
30 E APPLE ST STE 6258
DAYTON, OH 45409
Student in an Organized Health Care Education/Training Program
30 E APPLE ST STE 6258
DAYTON, OH 45409
Surgery
30 E APPLE ST STE 6258
DAYTON, OH 45409
Surgery
30 E APPLE ST STE 6258
DAYTON, OH 45409
Student in an Organized Health Care Education/Training Program
30 E APPLE ST STE 6258
DAYTON, OH 45409

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 Conner Blackwell's NPI number?

The NPI number for Conner Blackwell is 1578068102. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Where is Conner Blackwell located?

Conner Blackwell practices at 30 E Apple St Ste 6258, Dayton, OH 45409. The listed phone number is (937) 245-7200.

What is Conner Blackwell's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Conner Blackwell enrolled in Medicare?

Yes. Conner 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.

Which organizations bill Medicare for Conner Blackwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Conner Blackwell reassigns Medicare benefits to 4 organizations: Premier Health Specialists Inc (Dayton, OH), Mount Carmel Health System (Grove City, OH), The Emory Clinic Inc (Atlanta, GA) and Emory Medical Care Foundation Inc (Atlanta, GA). 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 Conner Blackwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Conner Blackwell accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Oscar Health list Conner Blackwell 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 Conner Blackwell affiliated with any hospitals?

According to CMS data, Conner Blackwell is affiliated with Miami Valley Hospital.

When was this NPI record last updated?

The NPPES record for Conner Blackwell was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.