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Active NPI 1487641536 Individual Practitioner Female Practitioner

Shawna C Blackmon , PA

Physician Assistant • Nacogdoches, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Shawna Blackmon, PA is a certified Physician Assistant practicing in Nacogdoches, TX. With approximately 22 years of clinical experience since completing medical education in 2004, Shawna Blackmon delivers high-quality medical care to the local community at 3816 N UNIVERSITY DR.

Shawna Blackmon is affiliated with Ortholonestar Pllc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray lower and sacral spine, minimum of 6 views, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3816 N University Dr

Nacogdoches, TX 759652011

Telephone 9039397500
Fax 9039397728
Associated Practice Facility / Clinic
🏢 Ortholonestar, Pllc Facility NPI 1336756980

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Nacogdoches, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs +5.2 yrs vs City Avg
City Avg: 16.8 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
14 Specialists

Practicing in Nacogdoches, TX (11140 Statewide)

Telehealth Adoption Rate
21.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
66.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blackmon (22 Years) 22 Yrs
Nacogdoches Specialty Average (16.8 Years) 16.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
109 95 $159.00 $59.49
72114 X-ray lower and sacral spine, minimum of 6 views
68 68 $158.00 $47.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
67 66 $236.00 $86.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
34 34 $238.00 $87.67
72052 X-ray of upper spine, 6 or more views
24 24 $158.00 $44.81
72110 X-ray of lower and sacral spine, minimum of 4 views
22 22 $121.00 $39.46
72100 X-ray of lower and sacral spine, 2-3 views
21 20 $87.00 $28.04
72070 X-ray of middle spine, 2 views
11 11 $78.00 $27.25

Medical Specialties & State Licenses

CMS Verified: 2022-02-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA04131

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.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License TX PA04131

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
206265502 (TX)
Medicaid State Provider ID
206265503 (TX)
Medicaid State Provider ID
206265504 (TX)
Medicaid State Provider ID
206265501 (TX)
Commercial Insurance / Payer ID Blue Cross Blue Shield
8360ND (TX)
Commercial Insurance / Payer ID Bcbs
8Y8693 (TX)
Commercial Insurance / Payer ID Railroad Medicare
P00743048 (TX)

Hospital & Practice Group Affiliations

Ortholonestar Pllc

3800 Gaylord Pkwy, Frisco, TX 750349635

Phone: 2142202468

Ortholonestar Pllc

3816 N University Dr, Nacogdoches, TX 759652011

Phone: 9039397500

Secondary Practice Locations

3414 Golden Rd

Tyler, TX 757018336

Phone: 9039397500

Practice Associates & Co-Workers

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

40 Associated Practitioners
Lynsie Doughten , FNP-C

Nurse Practitioner - Family

NPI 1013754043

Family Nurse Practitioner (Certified)

Dr. Claire Tibiletti , MD

Pain Medicine - Interventional Pain Medicine

NPI 1013937556

Doctor of Medicine (M.D.)

Jordan Cooke , PA-C

Physician Assistant - Surgical

NPI 1033628383

Physician Assistant (Certified)

Marc Reimers , FNP-C

Nurse Practitioner - Family

NPI 1053946368

Family Nurse Practitioner (Certified)

Dr. Andrew Hester , MD

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1063874071

Doctor of Medicine (M.D.)

Lindsey Markel , FNP-C

Nurse Practitioner - Family

NPI 1104450832

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location January 18, 2022

Registered at 3816 N UNIVERSITY DR, NACOGDOCHES, TX 759652011 (Tel: 9039397500)

📍
Updated Business Mailing Address January 18, 2022

Registered at 3414 GOLDEN RD, TYLER, TX 757018336 (Tel: 9039397500)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2022

Physician Assistant (License #PA04131 in TX)

NPI Profile Active November 21, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location November 21, 2013

Registered at 1201 BROOKS ST, SUGAR LAND, TX 774783835 (Tel: 2816904678)

📍
Updated Business Mailing Address November 21, 2013

Registered at 1201 BROOKS ST, SUGAR LAND, TX 774783835 (Tel: 2816904678)

👤
Provider Name / Credentials Updated November 21, 2013

Recorded as SHAWNA BLACKMON, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2013

Physician Assistant (License #PA04131 in TX)

🟢
Initial NPI Registration & Enumeration October 04, 2005

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: 1487641536
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2005
Last Update: February 24, 2022
Sole Proprietor: No

Mailing Address

3414 Golden Rd

Tyler, TX 757018336

Phone: 9039397500

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.