Active NPI
Richard Blackburn, DO
- Radiation Oncology Physician
- West Plains, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 200701598
- Practice address
- 1100 N Kentucky Ave
West Plains, MO 65775-2029 - Phone
- (417) 256-9111
- NPI assigned
- Jun 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 2023048760 | MO | |
| Radiation Oncology Physician | 2085R0001X | 7138 | TN | |
| Radiation Oncology Physician | 2085R0001X | 200701598 | NC | Primary |
| Radiation Oncology Physician | 2085R0001X | 24026 | ND | |
| Radiation Oncology Physician | 2085R0001X | W5041 | TX | |
| Radiation Oncology Physician | 2085R0001X | 0102037118 | VA |
Addresses
Primary practice location
1100 N Kentucky Ave
West Plains, MO 65775-2029
Mailing address
2851 Pine Forest Dr
Southport, NC 28461-8236
Phone (910) 650-3138
Other practice location 1
805 6th Ave W Ste 100
Hendersonville, NC 28739-4160
Phone (828) 696-1330
Other practice location 2
323 E Hawkins Pkwy Ste A-1
Longview, TX 75605-8153
Phone (903) 544-6888
Other practice location 3
16000 Johnston Memorial Dr
Abingdon, VA 24211-7659
Phone (276) 258-1800
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | upmchospitals@upmcdirect.com | UPMC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC, MO, NM, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110830000518 | NC | Practitioner - Radiation Oncology | 5597755926 | Reassigns benefits to 3 organizations |
| I20191104001065 | SC | Practitioner - Radiation Oncology | 5597755926 | Reassigns benefits to 1 organization |
| I20240507002336 | MO | Practitioner - Radiation Oncology | 5597755926 | Reassigns benefits to 1 organization |
| I20241025002093 | NM | Practitioner - Radiation Oncology | 5597755926 | Reassigns benefits to 1 organization |
| I20260520004302 | ND | Practitioner - Radiation Oncology | 5597755926 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- West Virginia School of Osteopathic Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- SJC Oncology Services South Carolina LLCOzarks Medical Center
Practice addresses (Care Compare)
100 Buckwalter Place Blvd
Suite 150
Bluffton, SC 29910-5023
Phone (843) 836-7120
1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone 41725691116036
Hospital & facility affiliations
- Ozarks Healthcare
- Essentia Health
- Sidney Health Center
- Faith Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023048760 | MO | MD | Radiation Oncology Physician |
| 200701598 | NC | MD | Radiation Oncology Physician |
| 24026 | ND | MD | Radiation Oncology Physician |
| 404 | SC | MD | Physical Therapy Assistant |
| 1184 | AL | MD | Occupational Therapist |
| 1026 | WV | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sidney Health Center | Current | Accepting new patients | |
| Henderson County Hospital Corp | Current | Accepting new patients | |
| SJC Oncology Services-South Carolina, LLC | Radiation Oncology | Current | Accepting new patients |
| Otero County Hospital Association | Current | Accepting new patients | |
| Ozarks Medical Center | Current | Accepting new patients | |
| Sidney Health Center | Current | Accepting new patients | |
| Henderson County Hospital Corporation | Current | Accepting new patients | |
| Otero County Hospital Association | Current | Accepting new patients | |
| Watauga Medical Center Inc | Current | Accepting new patients | |
| East Carolina University | Current | Accepting new patients | |
| Watauga Medical Center, Inc. | Current | Accepting new patients | |
| Ozarks Medical Center | Current | Accepting new patients | |
| Watauga Medical Center Inc | Radiation Oncology | Current | Accepting new patients |
| Sidney Health Center | Current | Accepting new patients | |
| East Carolina University | Current | Accepting new patients | |
| Sidney Health Center | Current | Accepting new patients | |
| Henderson County Hospital Corporation | Current | Accepting new patients | |
| Murray Radiation Oncology, PSC | Radiation Oncology | Past | Accepting new patients |
| Sidney Health Center | Past | Accepting new patients | |
| Middle Georgia Radiation Partners, LP | Specialist | Past | Accepting new patients |
Locations
1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959
216 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100
214 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100
21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394
336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211
155 Furman Rd
Ste 101
Boone, NC 28607
Phone (828) 262-4111
338 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211
600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111
805 6th Ave W
Hendersonville, NC 28739
Phone (828) 696-1330
805 6th Ave W
Ste 100
Hendersonville, NC 28739
Phone (828) 692-8045
800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100
100 Buckwalter Place Blvd
Ste 150
Bluffton, SC 29910
Phone (843) 208-2895
25 Hospital Center Blvd
Ste 101
Hilton Head Island, SC 29926
Phone (843) 689-6490
Interoperability endpoints
- rblackburn220129@direct.unc.nchie.net
- richard.blackburn.1@6965.direct.athenahealth.com
- rblackburn87804@directinfirmaryhealth.org
- rblackburn502068@direct.nebraskamed.com
Organizations & group practices 35
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.
-
- Radiation Oncology Physician
- Bluffton, SC
- NPI 1306055025
Radiation Oncology, SC
-
- Multi-Specialty Clinic/Center
- Hendersonville, NC
- NPI 1447444559
NC
-
- Rural Health Clinic/Center
- West Plains, MO
- NPI 1154838209
-
- Rural Health Clinic/Center
- Mt. View, MO
- NPI 1295815017
-
- Community/Retail Pharmacy
- West Plains, MO
- NPI 1356079396
-
- Rural Health Clinic/Center
- Mountain Grove, MO
- NPI 1376679423
-
- Community Based Hospice Care Agency
- West Plains, MO
- NPI 1487658340
Hospital & facility affiliations 4
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": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1801834767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2851 PINE FOREST DR",
"city": "SOUTHPORT",
"state": "NC",
"postal_code": "284618236",
"telephone_number": "910-650-3138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 N KENTUCKY AVE",
"city": "WEST PLAINS",
"state": "MO",
"postal_code": "657752029",
"telephone_number": "417-256-9111"
}
],
"practiceLocations": [
{
"address_1": "805 6th Ave W Ste 100",
"address_purpose": "LOCATION",
"city": "Hendersonville",
"state": "NC",
"postal_code": "287394160",
"country_code": "US",
"telephone_number": "828-696-1330",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "323 E Hawkins Pkwy Ste A-1",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756058153",
"country_code": "US",
"telephone_number": "903-544-6888",
"fax_number": "903-502-6089",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16000 Johnston Memorial Dr",
"address_purpose": "LOCATION",
"city": "Abingdon",
"state": "VA",
"postal_code": "242117659",
"country_code": "US",
"telephone_number": "276-258-1800",
"fax_number": "276-628-1523",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLACKBURN",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MO",
"license": "2023048760",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TN",
"license": "7138",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NC",
"license": "200701598",
"primary": true
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "ND",
"license": "24026",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TX",
"license": "W5041",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "VA",
"license": "0102037118",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "upmchospitals@upmcdirect.com",
"affiliation": "Y",
"affiliationName": "UPMC",
"address_1": "600 Grant St",
"address_2": "Floor 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Plains, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.