DONALD L BLACKMON JR. MD
NPI 1992719421
Internal Medicine in Pensacola, FL

Q: What is Donald Blackmon's NPI number?

The NPI number for Donald Blackmon is 1992719421. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Q: What is Donald Blackmon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Donald Blackmon was last updated on May 28, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment

73.54/100

CMS Quality Rating

6160 N DAVIS HWY, SUITE 5, PENSACOLA, FL 32504(850) 471-2121(850) 471-2120 Get Directions Write a Review

NPPES record last updated: May 28, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Donald L Blackmon Jr. Md NPPES

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

DONALD L BLACKMON JR. MD (NPI 1992719421) is an individual internal medicine provider in Pensacola, Florida, licensed in Florida (ME48954) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of Medical University Of South Carolina College Of Medicine (1980).

NPPES Registry Identity

NPI1992719421

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDONALD L BLACKMON JR.Credential: MD

Location Address6160 N DAVIS HWY, SUITE 5Pensacola, FL 32504-6994

Mailing Address6160 N Davis Hwy, Suite 5Pensacola, FL 32504-6994 · (850) 471-2121 · Fax (850) 471-2120

Phone(850) 471-2121

Fax(850) 471-2120

Sole ProprietorYes

Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1980

Enumeration DateJuly 28, 2006

Last NPPES UpdateMay 28, 2015

✔ NPI 1992719421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME48954

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.

6160 N DAVIS HWY, Pensacola, FL 32504

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Other Identifiers 3

Other17667FL · Bcbs

Medicaid037239200FL

Medicare UPINC82832

Accepted Insurance

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

Donald L Blackmon Jr. 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 ID6608059753

PECOS Enrollment IDI20110328000830

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 8

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 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.

415 services232 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

203 services203 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.

165 services98 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

101 services101 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

100 services100 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

32 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100025

Location5151 N 9th AvePensacola, FL 32504 · Escambia County

Emergency services Birthing friendly

Baptist Hospital

Acute Care Hospitals · Pensacola, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100093

Location123 Baptist WayPensacola, FL 32503 · Escambia County

Emergency services Birthing friendly

Gulf Breeze Hospital

Acute Care Hospitals · Gulf Breeze, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number100266

Location1110 Gulf Breeze PkwyGulf Breeze, FL 32561 · Santa Rosa County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32504 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

73.54/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

94.31

Improvement Activities

Cost

19.38

Reported Quality Measures

Advance Care Plan

64%329 patients3/55-star benchmark: 100%

Breast Cancer Screening

67%97 patients3/55-star benchmark: 93%

Closing the Referral Loop: Receipt of Specialist Report

57%148 patients3/55-star benchmark: 87%

Colorectal Cancer Screening

83%220 patients4/55-star benchmark: 88%

Controlling High Blood Pressure

64%194 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

67%30 patients3/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

27%30 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

100%1,409 patients5/55-star benchmark: 100%

HIV Screening

1%126 patients1/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

62%433 patients3/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

32%544 patients3/55-star benchmark: 61%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

77%281 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 2% · 322 patients

Patients totalRate: 13% · 336 patients

12%336 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers17 claims66 services$6.20 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032