Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073970521 Individual Practitioner Male Practitioner

Dr. Matthew Blackmon , DC

Chiropractor • La Porte, IN

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Blackmon, DC is a registered healthcare professional specializing in Chiropractor in La Porte, IN. Practice services are available at 204 LEGACY PLZ W under active NPI credentials.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 1-2 spinal regions, chiropractic manipulative treatment, 3-4 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

204 Legacy Plz W

La Porte, IN 463505285

Telephone 2194767246
Fax 2194761713
Associated Practice Facility / Clinic
🏢 Centers For Pain Control, Inc Facility NPI 1790920452

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in La Porte, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
6 Specialists

Practicing in La Porte, IN (1470 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98940 Chiropractic manipulative treatment, 1-2 spinal regions
588 53 $77.00 $27.32
98941 Chiropractic manipulative treatment, 3-4 spinal regions
333 49 $84.50 $39.21

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License IN 08002885A

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
April Donald , FNP

Nurse Practitioner - Family

NPI 1083228399

Family Nurse Practitioner

NPI 1154893717

Doctor of Chiropractic

Dr. Rohit Puranik , MD

Anesthesiology - Pain Medicine

NPI 1235459975

Doctor of Medicine (M.D.)

Dr. Simon Ho , MD

Anesthesiology - Pain Medicine

NPI 1457552200

Doctor of Medicine (M.D.)

Vanessa Almanza

Nurse Practitioner - Family

NPI 1720847478
Tawanda Leflore

Nurse Practitioner - Family

NPI 1730841271

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active January 13, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 13, 2018

Registered at 204 LEGACY PLZ W, LA PORTE, IN 463505285 (Tel: 2194767246)

📍
Updated Business Mailing Address January 13, 2018

Registered at 219 E IRELAND RD, SOUTH BEND, IN 466142653 (Tel: 5742911000)

👤
Provider Name / Credentials Updated January 13, 2018

Recorded as MATTHEW BLACKMON, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2018

Chiropractor (License #08002885A in IN)

NPI Profile Active January 27, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 27, 2016

Registered at 219 E IRELAND RD, SOUTH BEND, IN 466142653 (Tel: 5742911000)

📍
Updated Business Mailing Address January 27, 2016

Registered at 219 E IRELAND RD, SOUTH BEND, IN 466142653 (Tel: 5742911000)

👤
Provider Name / Credentials Updated January 27, 2016

Recorded as MATTHEW BLACKMON, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2016

Chiropractor (License #08002885A in IN)

🟢
Initial NPI Registration & Enumeration January 27, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073970521
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 27, 2016
Last Update: January 13, 2018
Sole Proprietor: Yes

Mailing Address

219 E Ireland Rd

South Bend, IN 466142653

Phone: 5742911000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.