Individual provider Active NPI

Barton Blackorby, MD

  • Retina Specialist (Ophthalmology) Physician
  • Brentwood, MO
National Provider Identifier
1477825875
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
2018008051 Issued in MO
Practice address
1600 S Brentwood Blvd Ste 700
Brentwood, MO 63144-1304
Phone
(314) 367-1181
NPI assigned
Jan 31, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 2018008051 MO Primary

Addresses

Primary practice location

1600 S Brentwood Blvd Ste 700
Brentwood, MO 63144-1304

Mailing address

8820 Ladue Rd Ste 203
Saint Louis, MO 63124-2080
Phone (314) 367-1181

Other practice location 1

9040 Jackson Ave
Tacoma, WA 98431-0001
Phone (253) 968-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180731000941 IL Practitioner - Ophthalmology 9739305624 Reassigns benefits to 1 organization
I20180731001430 MO Practitioner - Ophthalmology 9739305624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Oklahoma College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Consultants LLCGroup PAC ID 9537259957, 16 clinicians

Practice addresses (Care Compare)

1009 42ND St
Suite 3
Mt Vernon, IL 62864-6218
Phone (314) 367-1181

1600 S Brentwood Blvd
Suite 700
Brentwood, MO 63144-1304
Phone (314) 367-1181

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.93 of 100Reported as group
Quality
99.85
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.24 of 100Reported as group
Quality
95.45
Promoting interoperability
72
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
River Rock Behavioral Health, LLC CurrentSince Sep 8, 2024 Accepting new patients
Hermann Area Hospital District PastSince Feb 1, 2020 Accepting new patients
The Retina Institute LLC Ophthalmology PastSince Jul 1, 2018 Accepting new patients

Locations

8820 Ladue Rd
Ste 203
Saint Louis, MO 63124
Phone 31436711812267

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/f62890b5-77ff-44bd-a981-0a0981047b35/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: bblackorby@rcstl.intellechartdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1477825875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 LADUE RD STE 203",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242080",
            "telephone_number": "314-367-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S BRENTWOOD BLVD STE 700",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631441304",
            "telephone_number": "314-367-1181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9040 Jackson Ave",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984310001",
            "country_code": "US",
            "telephone_number": "253-968-1110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKORBY",
        "first_name": "BARTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-31",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MO",
            "license": "2018008051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, MO

Sources for this page

Verify at the official NPI Registry.