JASON LEE BLACKHAM M.D.
NPI 1821293242
Internal Medicine - Sports Medicine in Pullman, WA

Q: What is Jason Blackham's NPI number?

The NPI number for Jason Blackham is 1821293242. It was assigned to this individual provider in the NPPES registry on June 16, 2007.

Q: What is Jason Blackham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

Q: When was this NPI record last updated?

The NPPES record for Jason Blackham was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 16, 2007PECOS Enrolled

825 SE BISHOP BLVD STE 120, PULLMAN, WA 99163(509) 332-2828 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Jason Lee Blackham M.d. NPPES

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

JASON LEE BLACKHAM M.D. (NPI 1821293242) is an individual sports medicine provider in Pullman, Washington, licensed in Washington (MD.MD.70131894) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821293242

Entity TypeIndividualMale

Primary Taxonomy207RS0010X

Provider Legal NameJASON LEE BLACKHAMCredential: M.D.

Location Address825 SE BISHOP BLVD STE 120Pullman, WA 99163-5517

Mailing Address825 Se Bishop Blvd Ste 120Pullman, WA 99163-5517 · (509) 332-2828

Phone(509) 332-2828

Sole ProprietorNo

Enumeration DateJune 16, 2007

Last NPPES UpdateJuly 9, 2026

NPPES CertifiedJuly 9, 2026

✔ NPI 1821293242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RS0010X

Licenses✔ Licensed in WA · MD.MD.70131894✔ Licensed in ID · 2981404

Definition

An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.

825 SE BISHOP BLVD STE 120, Pullman, WA 99163

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter 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)

Jason Lee Blackham 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 Reassignments

Medicare enrollment records show Jason Blackham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Public Hospital District #1-A Of Whitman County

Same address

Family Medicine

835 SE BISHOP BLVD
Pullman, WA 99163

Reassigned Medicare billing, Washington and Idaho enrollments
Also billed through NPI 1366446767 (Washington)
151 clinicians in this Medicare group

NPI 1881475051 (509) 336-7300

Ihc Health Services Inc

424 mi

Clinic/Center

905 N 1000 W, BEAR RIVER HOSPITALISTS
Tremonton, UT 84337

Reassigned Medicare billing, Utah enrollment
3,691 clinicians in this Medicare group

NPI 1184082141 (435) 207-4720

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

Areas of Expertise CMS Part B claims 11

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

420 services86 patients

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.

289 services158 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

162 services95 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

112 services112 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

65 services61 patients

Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323

Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.

58 services14 patients

Other Providers at the Same Location NPPES 9

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

EDWIN M. TINGSTAD, MD PLLC

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