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

Q: 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.

Q: What is Marcus Blackburn's specialty?

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

Q: When was this NPI record last updated?

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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 6

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

MEKENNA ANDREE BERMINGHAM APRN

Nurse Practitioner