MATTHEW LEE BLACKBURN DO
NPI 1811213572
Family Medicine in Fort Worth, TX

Active since April 20, 2010PECOS EnrolledAccepts Medicare Assignment
3520 NW CENTRE DR, FORT WORTH, TX 76135(817) 375-2100(817) 237-0022 Get Directions Write a Review

NPPES record last updated: May 29, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Matthew Lee Blackburn Do NPPES

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

MATTHEW LEE BLACKBURN DO (NPI 1811213572) is an individual family medicine provider in Fort Worth, Texas, licensed in Texas (N5512) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2007).

NPPES Registry Identity

NPI1811213572
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMATTHEW LEE BLACKBURNCredential: DO
Location Address3520 NW CENTRE DRFort Worth, TX 76135-3612
Mailing AddressPo Box 9101Coppell, TX 75019-9494 · (972) 745-7500 · Fax (972) 745-4336
Fax(817) 237-0022
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2007
Enumeration DateApril 20, 2010
Last NPPES UpdateMay 29, 2014
NPI 1811213572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · N5512
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.

3520 NW CENTRE DR, Fort Worth, TX 76135

Other Identifiers 1

Medicare PINTXB112305TX

Accepted 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

Matthew Lee Blackburn Do 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 ID4587850128
PECOS Enrollment IDI20101122001289
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 76135 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

Nurse Practitioner (Family)
3520 NW CENTRE DR
FORT WORTH, TX 76135
Nurse Practitioner (Family)
3520 NW CENTRE DR
LAKE WORTH, TX 76135
Family Medicine
3520 NW CENTRE DR
FORT WORTH, TX 76135
Physician Assistant
3520 NW CENTRE DR
FORT WORTH, TX 76135
Family Medicine
3520 NW CENTRE DR
FORT WORTH, TX 76135
Nurse Practitioner (Family)
3520 NW CENTRE DR
FORT WORTH, TX 76135

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 Matthew Blackburn's NPI number?

The NPI number for Matthew Blackburn is 1811213572. It was assigned to this individual provider in the NPPES registry on April 20, 2010.

Where is Matthew Blackburn located?

Matthew Blackburn practices at 3520 NW Centre Dr, Fort Worth, TX 76135. The listed phone number is (817) 375-2100.

What is Matthew Blackburn's specialty?

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

Is Matthew Blackburn enrolled in Medicare?

Yes. Matthew Blackburn 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.

What insurance does Matthew Blackburn accept?

Health plans from Blue Cross and Blue Shield of Texas list Matthew 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 Matthew Blackburn was last updated on May 29, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.