LISA RENEE BLACKWOOD MD
NPI 1912298191
Obstetrics & Gynecology in Harlan, KY

Q: What is Lisa Blackwood's NPI number?

The NPI number for Lisa Blackwood is 1912298191. It was assigned to this individual provider in the NPPES registry on April 22, 2011.

Q: What is Lisa Blackwood's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Blackwood was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 April 22, 2011PECOS EnrolledAccepts Medicare Assignment

132 VILLAGE CENTER RD, HARLAN, KY 40831(606) 573-7771(606) 573-2809 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2023, Apr 9, 2019, Mar 12, 2019 (3 updates tracked since 2019).

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About Lisa Renee Blackwood Md NPPES

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

LISA RENEE BLACKWOOD MD (NPI 1912298191) is an individual obstetrics & gynecology provider in Harlan, Kentucky, licensed in Kentucky (52468) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Harlan, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1912298191

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameLISA RENEE BLACKWOODCredential: MD

Location Address132 VILLAGE CENTER RDHarlan, KY 40831

Mailing AddressPo Box 40Whitesburg, KY 41858-0040 · (606) 633-4823

Phone(606) 573-7771

Fax(606) 573-2809

Sole ProprietorYes

Medical School CMSOtherGraduated 2003

Enumeration DateApril 22, 2011

Last NPPES UpdateOctober 5, 20233 updates tracked since enumeration

NPPES CertifiedOctober 5, 2023

✔ NPI 1912298191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in KY · 52468

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedSpecialistTaxonomy 174400000X · License 261223 (NY)

132 VILLAGE CENTER RD, Harlan, KY 40831

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Secondary Practice Location 1

Location 1132 Village Center RdHarlan, KY 40831 · Phone (606) 573-7771 · Fax (606) 573-2809

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Renee Blackwood Md 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 ID5496997249

PECOS Enrollment IDI20130807001040

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 Reassignment

Medicare enrollment records show Lisa Blackwood reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc

350 mi

Health Maintenance Organization

43480 YUKON DR, SUITE 100
Ashburn, VA 20147

Reassigned Medicare billing, Virginia and District of Columbia enrollments
Also billed through NPI 1114677572 (Virginia), NPI 1215058326 (District of Columbia)
995 clinicians in this Medicare group

NPI 1699893537 (571) 252-6000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40831 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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 18

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

SAVANNA WYNN APRN

Nurse Practitioner (Family)