Free National NPI Number Registry

Kerry Alan Blackham

Home > Kerry Alan Blackham

 

NPI Number Detailed Information

Provider Information:

Name: Kerry Alan Blackham
Gender: M
Provider License Number If Given: 9452

NPI Information:

NPI: 1922014273
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/31/2006

Last Update Date: 1/9/2019

Provider Business Mailing Address:

Address: 503 WEST PINE
Philip, SD 57567
Phone Number: 6058592566
Fax Number: 6058592948

Provider Business Practice Location Address:

Address: 503 W PINE ST
Philip, SD 57567
Phone Number: 6058592566
Fax Number: 6058592948

Provider Taxonomy:

Primary: 207QG0300X
Secondary (if any):
State: SD

Top Doctors in SD

 

About Kerry Alan Blackham

Kerry Alan Blackham ( KERRY ALAN BLACKHAM ) is A Family Medicine Physician in Philip, SD. The NPI Number for Kerry Alan Blackham is 1922014273.
The current location address for Kerry Alan Blackham is 503 W PINE ST Philip, SD 57567 and the contact number is 6058592566 and fax number is 6058592948. The mailing address for Kerry Alan Blackham is 503 WEST PINE Philip, SD 57567- 6058592566 (mailing address contact number - 6058592566).
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Provider Business Location on Map

FAQs:

What is the NPI Number for Kerry Alan Blackham ?


Answer: The NPI Number for Kerry Alan Blackham is 1922014273

Where is Kerry Alan Blackham located?


Answer: Kerry Alan Blackham is located at 503 W PINE ST Philip, SD 57567.

What is the specialty for Kerry Alan Blackham ?


Answer: The Specialty of Kerry Alan Blackham is A Family Medicine Physician.

Are there any online reviews for Kerry Alan Blackham ?


Answer: Not yet!

Are there any other health care providers in Philip, SD?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Kerry Alan Blackham

Number of HCPCS 23
Number of Medicare Beneficiaries 122
Number of Services 279
Total Submitted Charge Amount 55310
Total Medicare Allowed Amount 21796.54
Total Medicare Payment Amount 17736.05
Total Medicare Standardized Payment Amount 18121.58
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 23
Number of Medicare Beneficiaries With Medical 122
Number of Medical Services 279
Total Medical Submitted Charge Amount 55310
Total Medical Medicare Allowed Amount 21796.54
Total Medical Medicare Payment Amount 17736.05
Total Medical Medicare Standardized Payment Amount 18121.58
Average Age of Beneficiaries 78
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 35
Number of Beneficiaries Age 75 to 84 43
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 75
Number of Male Beneficiaries 47
Number of Non-Hispanic White Beneficiaries 104
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 33
Number of Beneficiaries With Medicare Only Entitlement 89
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.15
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.23
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer 0.15
Percent (%) of Beneficiaries Identified With Heart Failure 0.2
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.34
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.13
Percent (%) of Beneficiaries Identified With Depression 0.24
Percent (%) of Beneficiaries Identified With Diabetes 0.31
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.36
Percent (%) of Beneficiaries Identified With Hypertension 0.72
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.32
Percent (%) of Beneficiaries Identified With Osteoporosis 0.1
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.39
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.227

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type General Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 6673
Number of Standardized 30-Day Fills 8294.3666667
Aggregate Cost Paid for All Claims 274185.21
Number of Day's Supply for All Claims 206353
Number of Medicare Beneficiaries 345
Number of Claims, Including Refills, for Beneficiaries Age 65+ 5586
Including Refills, for Beneficiaries Age 65+ 7143.3666667
Beneficiaries Age 65+ 189883.28
Number of Day's Supply for All Claims for Beneficaries Age 65+ 178337
Number of Medicare Beneficiaries Age 65+ 322
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 496
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 6149
Aggregate Cost Paid for Generic Drugs 82678.66
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 28
Aggregate Cost Paid for Other Drugs 1767.29
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 458
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 18643.09
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 6215
Aggregate Cost Paid for Claims Filled by 255542.12
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 3227
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 171741.43
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 3446
by Low-Income Subsidy 102443.78
Total Claims of Opioid Drugs, Including 288
Aggregate Cost Paid for Opioid Drugs 10444.67
Opioid Claims 55
Opioid_Tot_Clms divided by the Tot_Clms 4.3158998951
Total Claims of Long-Acting Opioid Drugs 71
Aggregate Cost Paid for Long-Acting Opioid 6658.88
Number of Day's Supply of All Long-Acting 2095
Long-Acting Opioid Claims 13
Opioid_LA_Tot_Clms divided by the 24.652777778
Total Claims of Antibiotic Drugs, Including 242
Aggregate Cost Paid for Antibiotic Drugs 3090.42
Antibiotic Claims 116
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 150
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 1525.4
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 18
Average Age of Beneficiaries 75.246376812
Number of Beneficiaries Age Less Than 65 23
Number of Beneficiaries Age 65 to 74 162
Number of Beneficiaries Age 75 to 84 89
Number of Female Beneficiaries 205
Number of Male Beneficiaries 140
Number of Non-Hispanic White 312
Number of Black or African American 0
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 23
Number of Beneficiaries with Race Not
Only Entitlement 261
Average Hierarchical Condition Category 1.1309675502

More Providers in Philip , SD

Philip Health Services, Inc.
Rural Health Clinic/Center
NPI Number: 1700838117
Address: 503 W PINE ST Philip, SD 57567 , Phone: 6058592566
Philip Health Services, Inc.
Critical Access Hospital
NPI Number: 1750300646
Address: 503 W PINE ST Philip, SD 57567 , Phone: 6058592511
Kerry Alan Blackham
Geriatric Medicine (Family Medicine) Physician
NPI Number: 1922014273
Address: 503 W PINE ST Philip, SD 57567 , Phone: 6058592566
Philip Health Services, Inc.
Home Health Agency
NPI Number: 1396820791
Address: 503 W PINE ST Philip, SD 57567 , Phone: 6058592511
Philip Health Services, Inc.
Medicare Defined Swing Bed Hospital Unit
NPI Number: 1023193422
Address: 503 W PINE ST Philip, SD 57567 , Phone: 6058592511
Dr. Doreen Vetter
Chiropractor
NPI Number: 1174602627
Address: PHILIP CHIROPRACTIC CLINIC 412 WEST PINE ST., Philip, SD 57567 , Phone: 6058592594
Robert Fugate
Physical Therapist
NPI Number: 1760552624
Address: 503 W PINE ST Philip, SD 57567 , Phone: 6058593265
Philip Health Services, Inc.
Nursing Facility/Intermediate Care Facility
NPI Number: 1811054869
Address: 503 W PINE ST Philip, SD 57567 , Phone: 6058592511
Philip Ambulance Service
Land Ambulance
NPI Number: 1861527210
Address: 100 S LARIMER AVE Philip, SD 57567 , Phone: 6058592424
Dakota Country Pharmacy Inc
Pharmacy
NPI Number: 1356477442
Address: 130 S CENTER Philip, SD 57567 , Phone: 6058592833
Philip Health Services, Ins
Assisted Living Facility
NPI Number: 1609078492
Address: 519 W PINE ST Philip, SD 57567 , Phone: 6058592511
Dr. Ronald G Mann
General Practice Dentistry
NPI Number: 1346424348
Address: 104 PHILIP AVE. Philip, SD 57567 , Phone: 6058592491
Courtney Larson Kjerstad
Pharmacist
NPI Number: 1255604500
Address: 130 S CENTER AVE Philip, SD 57567 , Phone: 6058592843
Audrey Smeenk
Physician Assistant
NPI Number: 1881218592
Address: 503 W PINE ST Philip, SD 57567 , Phone: 6058592511
Kimberly A. Trask, D.D.S., Prof. L.L.C.
Dentist
NPI Number: 1518542927
Address: 104 PHILIP AVE Philip, SD 57567 , Phone: 6058592491
Philip Clinic
Clinic/Center
NPI Number: 1609453422
Address: 503 W PINE ST Philip, SD 57567 , Phone: 6058592566
Robin R Peterson-Lund
Family Medicine Physician
NPI Number: 1962472704
Address: 503 W PINE ST Philip, SD 57567 , Phone: 6058592566
Dr. Coenraad C Klopper
Family Medicine Physician
NPI Number: 1659341360
Address: 503 W PINE ST Philip, SD 57567 , Phone: 6058592566
Terry W Henrie
Family Medicine Physician
NPI Number: 1689644098
Address: 503 W PINE ST Philip, SD 57567 , Phone: 6058592566
Dr. David A Holman
Family Medicine Physician
NPI Number: 1629048954
Address: 503 W PINE ST Philip, SD 57567 , Phone: 6058592566

Kerry Alan Blackham in Other Directories

Provider don't have other directory link yet.