Active NPI 1649559014 Individual Practitioner Male Practitioner

Jared Blackmore , PA-C

Physician Assistant • Montgomery, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jared Blackmore, PA-C is a certified Physician Assistant practicing in Montgomery, OH. With approximately 15 years of clinical experience since completing medical education in 2011, Jared Blackmore delivers high-quality medical care to the local community at 10506A MONTGOMERY RD.

Jared Blackmore is affiliated with Trihealth H Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include ultrasound study of arm or leg veins with compression and maneuvers, coronary artery bypass using artery graft, 1 graft, coronary artery bypass using vein or artery graft, 2 grafts. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10506a Montgomery Rd

Montgomery, OH 452424402

Telephone 5138655120

Fax 5138659875

Associated Practice Facility / Clinic

🏢 Bn Northeast Cardiac Center Llc Facility NPI 1821050824

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Montgomery, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs +7.9 yrs vs City Avg

City Avg: 7.1 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

42 Specialists

Practicing in Montgomery, OH (5376 Statewide)

Telehealth Adoption Rate

4.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blackmore (15 Years) 15 Yrs

Montgomery Specialty Average (7.1 Years) 7.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers	19	19	$110.00	$26.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
33533 Coronary artery bypass using artery graft, 1 graft	17	17	$4210.65	$242.39
33518 Coronary artery bypass using vein or artery graft, 2 grafts	12	12	$884.25	$54.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
33533 Coronary artery bypass using artery graft, 1 graft	29	29	$2291.00	$220.45
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	14	$153.00	$85.11
33405 Replacement of aortic valve on heart-lung machine	13	13	$2745.00	$286.94
33518 Coronary artery bypass using vein or artery graft, 2 grafts	13	13	$457.50	$56.29
33517 Combined vein and artery heart artery bypass	11	11	$214.50	$25.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
33533 Coronary artery bypass using artery graft, 1 graft	30	30	$2291.00	$246.18
33518 Coronary artery bypass using vein or artery graft, 2 grafts	13	13	$457.50	$57.22
33405 Replacement of aortic valve on heart-lung machine	12	12	$2745.00	$275.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
33533 Coronary artery bypass using artery graft, 1 graft	17	17	$2291.00	$211.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
33533 Coronary artery bypass using artery graft, 1 graft	26	26	$2291.00	$239.81
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	20	20	$19.50	$2.26
33405 Replacement of aortic valve on heart-lung machine	16	16	$2745.00	$286.10
33518 Coronary artery bypass using vein or artery graft, 2 grafts	12	12	$457.50	$57.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
33533 Coronary artery bypass using artery graft, 1 graft	33	33	$2291.00	$220.68
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	15	15	$19.50	$2.23
33517 Combined vein and artery heart artery bypass	14	14	$214.50	$25.78
33405 Replacement of aortic valve on heart-lung machine	13	13	$2745.00	$238.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
33533 Coronary artery bypass using artery graft, 1 graft	17	17	$2291.00	$232.76
33518 Coronary artery bypass using vein or artery graft, 2 grafts	11	11	$457.50	$56.60

Medical Specialties & State Licenses

CMS Verified: 2023-05-31

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50.003392

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0067767 (OH)

Hospital & Practice Group Affiliations

Trihealth H Llc

375 Dixmyth Ave, Cincinnati, OH 452202475

Trihealth H Llc

379 Dixmyth Ave, Cincinnati, OH 452202475

Phone: 5132467000

Trihealth H Llc

10506 A Montgomery Rd, Montgomery, OH 452424402

Trihealth H Llc

10500 Montgomery Rd, Montgomery, OH 452424402

Phone: 5132462400

Practice Associates & Co-Workers

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

15 Associated Practitioners

Rachel Derenski , CNP

Nurse Practitioner - Acute Care

NPI 1033462049

Certified Nurse Practitioner

Jonathan Beiser , PA-C

Physician Assistant

NPI 1063452266

Physician Assistant (Certified)

Dr. Louis Brunsting , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1356334692

Doctor of Medicine (M.D.)

Dr. Kathryn O'keefe , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1407052723

Doctor of Medicine (M.D.)

Dr. Robert Adams , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1447207436

Doctor of Medicine (M.D.)

Dr. Steven Park , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1457385817

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location May 31, 2023

Registered at 10506A MONTGOMERY RD, MONTGOMERY, OH 452424402 (Tel: 5138655120)

📍

Updated Business Mailing Address May 31, 2023

Registered at 10506A MONTGOMERY RD, MONTGOMERY, OH 452424402 (Tel: 5138655120)

✅

NPI Profile Active November 25, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location November 25, 2013

Registered at 30 E APPLE ST, SUITE 1480, DAYTON, OH 454092939 (Tel: 9372085337)

📍

Updated Business Mailing Address November 25, 2013

Registered at 30 E APPLE ST, SUITE 1480, DAYTON, OH 454092939 (Tel: 9372085337)

👤

Provider Name / Credentials Updated November 25, 2013

Recorded as JARED BLACKMORE, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2013

Physician Assistant (License #50.003392 in OH)

🟢

Initial NPI Registration & Enumeration August 16, 2011

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: 1649559014

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 16, 2011

Last Update: May 31, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

10506a Montgomery Rd

Montgomery, OH 452424402

Phone: 5138655120

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.