Active NPI 1063429652 Individual Practitioner Male Practitioner

Dr. Michael Gregory Blackburn , MD

Internal Medicine • Puyallup, WA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Blackburn, MD is a registered healthcare professional specializing in Internal Medicine in Puyallup, WA. Practice services are available at 201 15TH AVE SW STE C under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, triamcinolone acetonide, not otherwise specified, 10 mg, 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

201 15th Ave Sw Ste C

Puyallup, WA 983717495

Telephone 2538414243

Fax 2538649452

Associated Practice Facility / Clinic

🏢 Michael G. Blackburn, M.d. , Inc. P.s. Facility NPI 1285801480

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Puyallup, WA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 17.5 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

29 Specialists

Practicing in Puyallup, WA (3169 Statewide)

Telehealth Adoption Rate

17.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

40.3% 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 (2019)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,279	386	$130.00	$74.45
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	381	362	$250.00	$146.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	255	164	$210.00	$108.95
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	168	26	$10.00	$1.63
J1030 Injection, methylprednisolone acetate, 40 mg	106	87	$10.00	$6.31
J0696 Injection, ceftriaxone sodium, per 250 mg	72	16	$5.00	$0.58
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	70	14	$38.00	$16.78
81000 Manual urinalysis test with examination using microscope, non-automated	65	49	$10.00	$3.94
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	16	15	$120.00	$107.86
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$55.00	$17.09
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$320.00	$207.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,088	355	$130.00	$69.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	394	383	$250.00	$137.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	336	185	$210.00	$101.98
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	258	46	$10.00	$1.79
J1030 Injection, methylprednisolone acetate, 40 mg	90	77	$10.00	$6.68
81000 Manual urinalysis test with examination using microscope, non-automated	70	46	$10.00	$3.94
36415 Insertion of needle into vein for collection of blood sample	36	32	$10.00	$2.94
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$320.00	$196.42
93000 Routine ekg using at least 12 leads including interpretation and report	22	19	$55.00	$16.09
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	20	16	$120.00	$102.39
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	16	14	$50.00	$20.59
69210 Removal of impacted ear wax	11	11	$75.00	$46.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,108	358	$130.00	$68.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	418	414	$250.00	$135.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	348	192	$210.00	$99.99
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	269	44	$9.01	$1.80
J1030 Injection, methylprednisolone acetate, 40 mg	98	79	$10.00	$5.66
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	80	14	$35.00	$24.04
81000 Manual urinalysis test with examination using microscope, non-automated	53	40	$10.00	$4.26
J0696 Injection, ceftriaxone sodium, per 250 mg	52	11	$5.00	$0.66
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	35	35	$320.00	$192.01
36415 Insertion of needle into vein for collection of blood sample	28	25	$10.00	$2.94
93000 Routine ekg using at least 12 leads including interpretation and report	20	19	$55.00	$15.83
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	11	$100.00	$50.05
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	11	11	$120.00	$100.04

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WA MD00019306

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1008895 (WA)

Commercial Insurance / Payer ID Regence

BL4674 (WA)

Commercial Insurance / Payer ID Railroad Medicare

110008458

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 30, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location June 30, 2008

Registered at 201 15TH AVE SW STE C, PUYALLUP, WA 983717495 (Tel: 2538414243)

📍

Updated Business Mailing Address June 30, 2008

Registered at 201 15TH AVE SW STE C, PUYALLUP, WA 983717495 (Tel: 2538414243)

👤

Provider Name / Credentials Updated June 30, 2008

Recorded as MICHAEL BLACKBURN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2008

Internal Medicine (License #MD00019306 in WA)

🟢

Initial NPI Registration & Enumeration August 03, 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: 1063429652

Entity Type:

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

Enumeration Date: August 03, 2006

Last Update: July 18, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

201 15th Ave Sw Ste C

Puyallup, WA 983717495

Phone: 2538414243

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.