BENJAMIN W BLACKBURN PA-C
NPI 1649380049
Physician Assistant in Murray, UT

Q: What is Benjamin Blackburn's NPI number?

The NPI number for Benjamin Blackburn is 1649380049. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Benjamin Blackburn's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment

5373 S GREEN ST STE 400, MURRAY, UT 84123(801) 442-5502(857) 267-5668 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Benjamin W Blackburn Pa-c NPPES

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

BENJAMIN W BLACKBURN PA-C (NPI 1649380049) is an individual physician assistant in Murray, Utah, licensed in Utah (8983610-1206) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1649380049

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameBENJAMIN W BLACKBURNCredential: PA-C

Location Address5373 S GREEN ST STE 400Murray, UT 84123-4740

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 442-5502

Phone(801) 442-5502

Fax(857) 267-5668

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateAugust 30, 2006

Last NPPES UpdateJune 8, 2026

NPPES CertifiedJune 8, 2026

✔ NPI 1649380049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in UT · 8983610-1206✔ Licensed in AZ · 3458

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

5373 S GREEN ST STE 400, Murray, UT 84123

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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 and accepts Medicare assignment

Benjamin W Blackburn Pa-c 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 ID2062417926

PECOS Enrollment IDI20141112000740

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

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.

16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84123 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

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

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.

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.

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