Peter Blackburn, MD

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

36686 Issued in KY

Practice address

110 Conn Ter Ste 550
Lexington, KY 40508-3206

Phone

(859) 323-5867

NPI assigned

May 28, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Colorado School of Medicine, Denver, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kentucky Medical Services Foundation, Inc 949 clinicians

Tri-State Centers for Sight Inc 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Kentucky Hospital Hospital, Lexington, KY, CCN 180067

Merit-based Incentive Payment System (MIPS)

Final score

85.77 of 100Reported as group

Quality

68.25

Promoting interoperability

100

Improvement activities

40

Cost

72.39

Merit-based Incentive Payment System (MIPS)

Final score

91.88 of 100Reported as group

Quality

100

Improvement activities

40

Cost

72.93

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pblackburn@tristatesight.intellechartdirect.net
• Direct secure messaging: peter.blackburn.p1@direct.kyeyeinst.nextgenshare.com
• Direct secure messaging: pblackburn24430@ukhcdirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kentucky Medical Services Foundation, Inc

  • Internal Medicine Physician
  • Lexington, KY
  • NPI 1326091448

  KY, Ophthalmology

  Medicare reassignment Care Compare group NPD
• Tri-State Centers for Sight, Inc.

  • Ophthalmology Physician
  • Crestview Hills, KY
  • NPI 1467520296

  KY, Ophthalmology

  Medicare reassignment Care Compare group NPD
• Tri-State Centers for Sight Inc

  • Ophthalmology Physician
  • Corbin, KY
  • NPI 1932912466

  Ophthalmology

  Care Compare group NPD
• Tri-State Centers for Sight Inc

  • Ophthalmologic Surgery Clinic/Center
  • Cincinnati, OH
  • NPI 1871698894
  Care Compare group NPD (past)
• Tri-State Centers for Sight Inc

  • Ophthalmology Physician
  • Middlesboro, KY
  • NPI 1184437634
  Care Compare group
• Tri-State Centers for Sight Inc

  • Ophthalmology Physician
  • Lexington, KY
  • NPI 1235942780
  Care Compare group
• Tri-State Centers for Sight Inc

  • Ophthalmology Physician
  • Morehead, KY
  • NPI 1538972096
  Care Compare group
• Tri-State Centers for Sight Inc

  • Ophthalmology Physician
  • Cincinnati, OH
  • NPI 1376142182
  Care Compare group
• Tri-State Centers for Sight, Inc.

  • Ophthalmology Physician
  • Cincinnati, OH
  • NPI 1912232505
  Care Compare group
• Kentucky Institute for Eye Health & Surgery

  • Durable Medical Equipment & Medical Supplies
  • Middlesboro, KY
  • NPI 1013015510

  Ophthalmology

  NPD
• Kentucky Institute for Eye Health & Surgery

  • Ophthalmology Physician
  • Corbin, KY
  • NPI 1881636470

  Ophthalmology

  NPD
• Tri-State Centers for Sight Inc

  • Ophthalmology Physician
  • Paintsville, KY
  • NPI 1649083965

  Ophthalmology

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University of Kentucky

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1518911338

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1336196815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CONN TER STE 550",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405083206",
            "telephone_number": "859-323-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CONN TER STE 550",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405083206",
            "telephone_number": "859-323-5867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 East City Dam Rd",
            "address_purpose": "LOCATION",
            "city": "Corbin",
            "state": "KY",
            "postal_code": "407014620",
            "country_code": "US",
            "telephone_number": "606-528-9393",
            "fax_number": "606-528-9397",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 East City Dam Rd",
            "address_purpose": "LOCATION",
            "city": "Corbin",
            "state": "KY",
            "postal_code": "407014620",
            "country_code": "US",
            "telephone_number": "606-528-9393",
            "fax_number": "606-528-9397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "36686",
            "primary": false
        },
        {
            "code": "207WX0108X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": "KY",
            "license": "36686",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "KY",
            "license": "36686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64030489",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Blackburn, RDN
• Kerigan Janae Blackburn
• Matthew Blackburn, PHARMD, BCCCP, BCPS
• Melissa J Blackburn, RPH
• Michael Lowell Blackburn, PA-C
• Rachel Ann Blackburn, M.ED., BCBA, LBA
• Rodney Buddy Blackburn, PHARMD
• Sarah Lee Ann Blackburn
• Sean M Blackburn, LCSW
• William E Blackburn, MD

• All providers in Lexington, KY
• Retina Specialist (Ophthalmology) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.