BRANDAN MAYER BLACKWELL M.D
NPI 1942664883
Family Medicine in San Diego, CA

Q: What is Brandan Mayer Blackwell's NPI number?

The NPI number for Brandan Mayer Blackwell is 1942664883. It was assigned to this individual provider in the NPPES registry on April 6, 2016.

Q: What is Brandan Mayer Blackwell's specialty?

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

Active since April 06, 2016PECOS EnrolledAccepts Medicare Assignment

200 W ARBOR DR, SAN DIEGO, CA 92103(800) 926-8273 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 29, 2021, Aug 9, 2019, Oct 14, 2016 (3 updates tracked since 2016).

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About Brandan Mayer Blackwell M.d NPPES

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

BRANDAN MAYER BLACKWELL M.D (NPI 1942664883) is an individual family medicine provider in San Diego, California, licensed in California (A151416) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2016).

NPPES Registry Identity

NPI1942664883

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameBRANDAN MAYER BLACKWELLCredential: M.D

Location Address200 W ARBOR DRSan Diego, CA 92103-9000

Mailing AddressPo Box 232410San Diego, CA 92193-2410

Phone(800) 926-8273

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 2016

Enumeration DateApril 6, 2016

Last NPPES UpdateNovember 29, 20213 updates tracked since enumeration

✔ NPI 1942664883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A151416

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.

200 W ARBOR DR, San Diego, CA 92103

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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

Brandan Mayer Blackwell 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 ID6002175353

PECOS Enrollment IDI20180115000282

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 Brandan Mayer Blackwell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regents Of The University Of California

Same address

Nephrology

200 W ARBOR DR
San Diego, CA 92103

Reassigned Medicare billing, California enrollment
526 clinicians in this Medicare group

NPI 1003934803 (888) 926-8273

Southern California Permanente Medical Group

1.2 mi

Health Maintenance Organization

1288 CAMINO DEL RIO N
San Diego, CA 92108

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1023425972 (877) 608-0044

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 92103 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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 20

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

DR. RAMIN MOTARJEMI M.D.

Internal Medicine (Geriatric Medicine)