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MARCUS KIM BLACKBURN M.D.
NPI 1598919409
Pediatrics in Riverton, UT

Active since November 06, 2008PECOS Enrolled
3723 W 12600 S STE 330, RIVERTON, UT 84065(801) 285-4543(801) 285-4540 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Marcus Kim Blackburn M.d. NPPES

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

MARCUS KIM BLACKBURN M.D. (NPI 1598919409) is an individual pediatrics provider in Riverton, Utah, licensed in Utah (7148440-1205) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1598919409
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMARCUS KIM BLACKBURNCredential: M.D.
Location Address3723 W 12600 S STE 330Riverton, UT 84065-7309
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 285-4543
Phone(801) 285-4543
Fax(801) 285-4540
Sole ProprietorNo
Enumeration DateNovember 6, 2008
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1598919409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in UT · 7148440-1205
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3723 W 12600 S STE 330, Riverton, UT 84065
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Secondary Practice Location 1

Location 1100 Mario Capecchi DrSalt Lake City, UT 84112-8924 · Phone (801) 662-5702

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marcus Kim Blackburn M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Marcus Blackburn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc
1.0 mi
Emergency Medicine
12473 S MINUTEMAN DR
Draper, UT 84020
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1467878256 (801) 495-7970

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84065 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

Other Providers at the Same Location NPPES 7

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

MEKENNA ANDREE BERMINGHAM APRN
Nurse Practitioner
3723 W 12600 S STE 330
RIVERTON, UT 84065
Salt Lake County (801) 285-4543
DIANNE DAVENPORT LCSW
Social Worker (Clinical)
3723 W 12600 S STE 330
RIVERTON, UT 84065
Salt Lake County (385) 622-0353
DR. JENNIFER MIJER M.D.
Pediatrics
3723 W 12600 S STE 330
RIVERTON, UT 84065
Salt Lake County (801) 285-4543
DR. SHELLIE J RING MD
Pediatrics
3723 W 12600 S STE 330
RIVERTON, UT 84065
Salt Lake County (801) 285-4543
GABRIELLE JASMINE SMART MD
Pediatrics
3723 W 12600 S STE 330
RIVERTON, UT 84065
Salt Lake County (801) 285-4543
JONATHAN J ATZET MD
Pediatrics
3723 W 12600 S STE 330
RIVERTON, UT 84065
Salt Lake County (801) 285-4543
MELANIE M WARD LCSW
Social Worker (Clinical)
3723 W 12600 S STE 330
RIVERTON, UT 84065
Salt Lake County (801) 285-4543

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 Marcus Blackburn's NPI number?

The NPI number for Marcus Blackburn is 1598919409. It was assigned to this individual provider in the NPPES registry on November 6, 2008.

Where is Marcus Blackburn located?

Marcus Blackburn practices at 3723 W 12600 S Ste 330, Riverton, UT 84065. The listed phone number is (801) 285-4543.

What is Marcus Blackburn's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Marcus Blackburn enrolled in Medicare?

Yes. Marcus Blackburn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marcus Blackburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marcus Blackburn reassigns Medicare benefits to Ihc Health Services Inc (Draper, UT). The 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 Marcus Blackburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marcus Blackburn accept?

Health plans from Select Health list Marcus 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.

When was this NPI record last updated?

The NPPES record for Marcus Blackburn was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.