Dr. Gary L Blackman , OD
Optometrist • Taylorville, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gary Blackman has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Gary Blackman, OD was a registered Optometrist practicing in Taylorville, IL. Throughout an active medical career spanning 13 years, Dr. Blackman provided care at the practice location at 16 MADERA COURT until profile deactivation on 2018-07-09.
Historical Medicare Part B clinical services included established patient complete exam of visual system, photography of the retina, new patient complete exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
16 Madera Court
Taylorville, IL 625681213
Specialty Benchmarks & Practice Insights
Comparative analytics for Optometrist in Taylorville, IL
Practicing in Taylorville, IL (2783 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
92014
Established patient complete exam of visual system
|
110 | 108 | $121.65 | $113.85 |
|
92250
Photography of the retina
|
33 | 33 | $76.00 | $51.04 |
|
92004
New patient complete exam of visual system
|
22 | 22 | $146.45 | $136.98 |
|
92012
Established patient problem focused exam of visual system
|
19 | 19 | $84.05 | $79.22 |
|
92100
Multiple measurements of eye fluid pressure over an extended time period
|
15 | 15 | $77.87 | $72.46 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 152W00000X
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 09, 2018
NPI status registered as active in NPPES database
Registered at 16 MADERA COURT, TAYLORVILLE, IL 625681213 (Tel: 2175537709)
Registered at 16 MADERA CT, TAYLORVILLE, IL 625688927 (Tel: 2175537709)
Recorded as GARY BLACKMAN, OD
Optometrist (License #046006087 in IL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
16 Madera Ct
Taylorville, IL 625688927
Phone: 2175537709
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