JEFFREY M BLACKMON M.D.
NPI 1710901996
Family Medicine in Bend, OR

Q: What is Jeffrey Blackmon's NPI number?

The NPI number for Jeffrey Blackmon is 1710901996. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Q: What is Jeffrey Blackmon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Blackmon was last updated on March 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment

929 SW SIMPSON AVE STE 300, BEND, OR 97702(541) 389-7741(541) 278-8375 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 24, 2023, Sep 28, 2022, Apr 21, 2022 (3 updates tracked since 2022).

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About Jeffrey M Blackmon M.d. NPPES

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

JEFFREY M BLACKMON M.D. (NPI 1710901996) is an individual family medicine provider in Bend, Oregon, licensed in Oregon (MD196707) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and is a graduate of Medical College Of Georgia School Of Medicine (2003).

NPPES Registry Identity

NPI1710901996

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJEFFREY M BLACKMONCredential: M.D.

Location Address929 SW SIMPSON AVE STE 300Bend, OR 97702-3599

Mailing AddressPo Box 1517Pendleton, OR 97801-0410 · (877) 708-1119 · Fax (541) 278-8349

Phone(541) 389-7741

Fax(541) 278-8375

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2003

Enumeration DateJuly 27, 2006

Last NPPES UpdateMarch 24, 20233 updates tracked since enumeration

NPPES CertifiedMarch 24, 2023

✔ NPI 1710901996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in OR · MD196707✔ Licensed in GA · 55917

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

929 SW SIMPSON AVE STE 300, Bend, OR 97702

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Other Identifiers 1

Medicaid724476151GGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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

Jeffrey M Blackmon M.d. 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 ID446291314

PECOS Enrollment IDI20230321000952

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 9

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

340 services192 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

187 services187 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

165 services165 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

35 services35 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

34 services34 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

22 services22 patients

Hospital Affiliations CMS Care Compare 3

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

St Charles Medical Center - Bend

Acute Care Hospitals · Bend, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380047

Location2500 NE Neff RoadBend, OR 97701 · Deschutes County

Emergency services Birthing friendly

St Charles Medical Center Prineville

Critical Access Hospitals · Prineville, OR

OwnershipVoluntary non-profit - Private

CMS Certification Number381313

Location384 SE Combs Flat RoadPrineville, OR 97754 · Crook County

Emergency services

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440091

Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97702 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers27 claims93 services$6.45 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers16 claims27 services$1.06 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

1 supplier11 claims22 services$1.14 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers37 claims38 services$12.57 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$907.03 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier12 claims12 services$5.41 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 14

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

MARIE CASSELBERRY AGNEW FNP, DNP.

Nurse Practitioner