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ROYCE BLACKWOOD PA-C
NPI 1992286546
Physician Assistant - Surgical in Bangor, ME

Active since August 22, 2018PECOS EnrolledAccepts Medicare Assignment
98.44/100
CMS Quality Rating
360 BROADWAY, BANGOR, ME 04401(207) 907-3650(207) 907-3660 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2022, Dec 6, 2019, Aug 22, 2018 (3 updates tracked since 2018).

About Royce Blackwood Pa-c NPPES

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

ROYCE BLACKWOOD PA-C (NPI 1992286546) is an individual surgical provider in Bangor, Maine, licensed in Maine (PA1855) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1992286546
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameROYCE BLACKWOODCredential: PA-C
Location Address360 BROADWAYBangor, ME 04401-3979
Mailing AddressC/o St Marys Health System - Provider Enrollment, Po Box 7291Lewiston, ME 04243-7291 · (207) 777-8560 · Fax (207) 777-8800
Phone(207) 907-3650
Fax(207) 907-3660
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 22, 2018
Last NPPES UpdateFebruary 3, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
✔ NPI 1992286546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in ME · PA1855
360 BROADWAY, Bangor, ME 04401
Open in Google Maps ↗

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

Royce Blackwood Pa-c 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 ID6709138472
PECOS Enrollment IDI20181008000935
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 2

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
13 services11 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph Hospital

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200001
Location360 BroadwayBangor, ME 04401 · Penobscot County
Emergency services

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.

98.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.88
Promoting Interoperability100
Improvement Activities40

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.

JAMES HILDEBRAND M.D.
Emergency Medicine
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-1703
THERESA ANNE YOUNG RN
Registered Nurse
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 525-4526
DANE HASSANI MD
Anesthesiology
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-1430
LIGA YUSVIRAZI MD
Emergency Medicine
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3283
DR. PEDRO PABLO GOMEZ VALENCIA M.D.
Surgery
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3650
DR. ALGIS VYDAS M.D.
Specialist
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 262-1938
DR. GANESHA SANTHYADKA MD
Internal Medicine (Pulmonary Disease)
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-1155
DR. AMINA S QAZI DO, PHARMD
Internal Medicine (Cardiovascular Disease)
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-1770

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 Royce Blackwood's NPI number?

The NPI number for Royce Blackwood is 1992286546. It was assigned to this individual provider in the NPPES registry on August 22, 2018.

Where is Royce Blackwood located?

Royce Blackwood practices at 360 Broadway, Bangor, ME 04401. The listed phone number is (207) 907-3650.

What is Royce Blackwood's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Royce Blackwood enrolled in Medicare?

Yes. Royce Blackwood 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.

Is Royce Blackwood affiliated with any hospitals?

According to CMS data, Royce Blackwood is affiliated with St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Royce Blackwood was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.