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Active NPI 1891760211 Individual Practitioner Male Practitioner

Dr. Bruce Gragg Blackstone , MD

Orthopaedic Surgery • Longview, WA

Professional Overview & Biography Verified Profile Summary

Dr. Bruce Blackstone, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Longview, WA. Practice services are available at 625 9TH AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, injection, methylprednisolone acetate, 40 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

625 9th Ave
Suite 210

Longview, WA 986322465

Telephone 3605013400
Fax 3604236862
Associated Practice Facility / Clinic
🏢 Longview Urology Pllc Facility NPI 1730187766

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Longview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.0 Yrs
State Avg: 23.2 Yrs
Regional Practice Density
9 Specialists

Practicing in Longview, WA (707 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.4% 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
99213 Established patient office or other outpatient visit, typically 15 minutes
14 14 $154.00 $66.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
12 12 $228.00 $92.76

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WA MD00020762

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1131101 (WA)
Medicaid State Provider ID
195560 (OR)

Practice Associates & Co-Workers

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

15 Associated Practitioners
Nichol Halverson , ARNP

Nurse Practitioner

NPI 1033540919

Advanced Registered Nurse Practitioner

Dr. Tony Lin , MD

Orthopaedic Surgery

NPI 1043414741

Doctor of Medicine (M.D.)

Dr. Herbert Mao , DO

Orthopaedic Surgery

NPI 1063075067

Doctor of Osteopathic Medicine (D.O.)

Dr. Jacob Mcleod , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1083909329

Doctor of Podiatric Medicine

Dr. William Turner , MD

Orthopaedic Surgery

NPI 1225003213

Doctor of Medicine (M.D.)

Dr. Peter Kung , MD

Orthopaedic Surgery

NPI 1225169279

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 22, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location September 22, 2010

Registered at 625 9TH AVE, SUITE 210, LONGVIEW, WA 986322465 (Tel: 3605013400)

📍
Updated Business Mailing Address September 22, 2010

Registered at 625 9TH AVE, SUITE 210, LONGVIEW, WA 986322465 (Tel: 3605013400)

👤
Provider Name / Credentials Updated September 22, 2010

Recorded as BRUCE BLACKSTONE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2010

Orthopaedic Surgery (License #MD00020762 in WA)

🟢
Initial NPI Registration & Enumeration February 20, 2006

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: 1891760211
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2006
Last Update: September 22, 2010
Sole Proprietor: No

Mailing Address

625 9th Ave, Suite 210

Longview, WA 986322465

Phone: 3605013400

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.