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DR. BRANDI NICOLE BLACKBURN M.D.
NPI 1932466083
Internal Medicine in Somerset, KY

Active since April 13, 2012PECOS EnrolledAccepts Medicare Assignment
85.61/100
CMS Quality Rating
305 LANGDON ST, SOMERSET, KY 42503(606) 679-7441 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brandi Nicole Blackburn M.d. NPPES

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

DR. BRANDI NICOLE BLACKBURN M.D. (NPI 1932466083) is an individual internal medicine provider in Somerset, Kentucky, licensed in Alabama (MD.32928) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Louisville Medical College (2012).

NPPES Registry Identity

NPI1932466083
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. BRANDI NICOLE BLACKBURNCredential: M.D.
Location Address305 LANGDON STSomerset, KY 42503-2750
Mailing Address1805 Rainey RdSomerset, KY 42503-5531 · (205) 834-5141
Phone(606) 679-7441
Sole ProprietorNo
Medical School CMSLouisville Medical CollegeGraduated 2012
Enumeration DateApril 13, 2012
Last NPPES UpdateFebruary 1, 2024
✔ NPI 1932466083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in AL · MD.32928✔ Licensed in AL · 32928
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
305 LANGDON ST, Somerset, KY 42503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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

Dr. Brandi Nicole Blackburn 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 ID2062662091
PECOS Enrollment IDI20151113000512
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
54 services19 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
33 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services18 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42503 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
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.25
Improvement Activities40
Cost73.25

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers37 claims37 services$20.76 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
7 suppliers67 claims67 services$114.18 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LAKE CUMBERLAND REGIONAL HOSPITAL LLC
Clinic/Center (Rural Health)
305 LANGDON ST
SOMERSET, KY 42503
Pulaski County (606) 679-7441
CAPITAL ANESTHESIA SOLUTIONS OF KENTUCKY LLC
Anesthesiology
305 LANGDON ST
SOMERSET, KY 42503
Pulaski County (330) 618-9944
GAGE KECK DO
Student in an Organized Health Care Education/Training Program
305 LANGDON ST
SOMERSET, KY 42503
Pulaski County (606) 679-7441
LAKE CUMBERLAND SURGICAL ASSISTANTS LLC
Surgery
305 LANGDON ST, LAKE CUMBERLAND REGIONAL HOSP
SOMERSET, KY 42503
Pulaski County (606) 679-7441
MICHAEL EDWARD HELM PA-C
Physician Assistant
305 LANGDON ST, STE H
SOMERSET, KY 42503
Pulaski County (606) 451-2994
ELIZABETH ANN SLAYTON
Student in an Organized Health Care Education/Training Program
305 LANGDON ST
SOMERSET, KY 42503
Pulaski County (502) 220-8534
ELIZABETH ERIN COMBS FNP-C
Neurological Surgery
305 LANGDON ST
SOMERSET, KY 42503
Pulaski County (606) 425-8893
BERNARD WILLIAMS
Emergency Medicine
305 LANGDON ST
SOMERSET, KY 42503
Pulaski County (606) 679-7441

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 Brandi Blackburn's NPI number?

The NPI number for Brandi Blackburn is 1932466083. It was assigned to this individual provider in the NPPES registry on April 13, 2012.

Where is Brandi Blackburn located?

Brandi Blackburn practices at 305 Langdon St, Somerset, KY 42503. The listed phone number is (606) 679-7441.

What is Brandi Blackburn's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Brandi Blackburn enrolled in Medicare?

Yes. Brandi 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 Brandi Blackburn accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Brandi 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 Brandi Blackburn was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.