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Timothy L Blackburn

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NPI Number Detailed Information

Provider Information:

Name: Timothy L Blackburn
Gender: M
Provider License Number If Given: R2P33

NPI Information:

NPI: 1558325605
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 4/14/2006

Last Update Date: 2/10/2022

Reputation Report:

Provider Business Mailing Address:

Address: 17067 S OUTER RD SUITE 200
Belton, MO 64012
Phone Number: 8163484281
Fax Number: 8163484271

Provider Business Practice Location Address:

Address: 17067 S OUTER RD SUITE 200
Belton, MO 64012
Phone Number: 8163484281
Fax Number: 8163484271

Provider Taxonomy:

Primary: 207RC0000X
Secondary (if any):
State: MO

Top Doctors in MO

 

About Timothy L Blackburn

Timothy L Blackburn ( TIMOTHY L BLACKBURN ) is An Internal Medicine Physician in Belton, MO. The NPI Number for Timothy L Blackburn is 1558325605.
The current location address for Timothy L Blackburn is 17067 S OUTER RD SUITE 200 Belton, MO 64012 and the contact number is 8163484281 and fax number is 8163484271. The mailing address for Timothy L Blackburn is 17067 S OUTER RD SUITE 200 Belton, MO 64012- 8163484281 (mailing address contact number - 8163484281).
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider Business Location on Map

FAQs:

What is the NPI Number for Timothy L Blackburn ?


Answer: The NPI Number for Timothy L Blackburn is 1558325605

Where is Timothy L Blackburn located?


Answer: Timothy L Blackburn is located at 17067 S OUTER RD SUITE 200 Belton, MO 64012.

What is the specialty for Timothy L Blackburn ?


Answer: The Specialty of Timothy L Blackburn is An Internal Medicine Physician.

Are there any online reviews for Timothy L Blackburn ?


Answer: Yes! Check It Now.

Are there any other health care providers in Belton, MO?


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 Timothy L Blackburn

Number of HCPCS 48
Number of Medicare Beneficiaries 1562
Number of Services 3943
Total Submitted Charge Amount 535163
Total Medicare Allowed Amount 240203.77
Total Medicare Payment Amount 181900.21
Total Medicare Standardized Payment Amount 185937.38
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 48
Number of Medicare Beneficiaries With Medical 1562
Number of Medical Services 3943
Total Medical Submitted Charge Amount 535163
Total Medical Medicare Allowed Amount 240203.77
Total Medical Medicare Payment Amount 181900.21
Total Medical Medicare Standardized Payment Amount 185937.38
Average Age of Beneficiaries 75
Number of Beneficiaries Age Less 65 165
Number of Beneficiaries Age 65 to 74 614
Number of Beneficiaries Age 75 to 84 545
Number of Beneficiaries Age Greater 84 238
Number of Female Beneficiaries 806
Number of Male Beneficiaries 756
Number of Non-Hispanic White Beneficiaries 1515
Number of Black or African American Beneficiaries 12
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 18
Number of Beneficiaries With Medicare & Medicaid Entitlement 200
Number of Beneficiaries With Medicare Only Entitlement 1362
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.28
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.13
Percent (%) of Beneficiaries Identified With Asthma 0.04
Percent (%) of Beneficiaries Identified With Cancer 0.11
Percent (%) of Beneficiaries Identified With Heart Failure 0.38
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.38
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.26
Percent (%) of Beneficiaries Identified With Depression 0.22
Percent (%) of Beneficiaries Identified With Diabetes 0.36
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.69
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.57
Percent (%) of Beneficiaries Identified With Osteoporosis 0.08
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.57
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.02
Percent (%) of Beneficiaries Identified With Stroke 0.08
Average HCC Risk Score of Beneficiaries 1.4646

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 Cardiology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 7768
Number of Standardized 30-Day Fills 17355.8
Aggregate Cost Paid for All Claims 1278386.16
Number of Day's Supply for All Claims 517818
Number of Medicare Beneficiaries 1067
Number of Claims, Including Refills, for Beneficiaries Age 65+ 6702
Including Refills, for Beneficiaries Age 65+ 15193.766667
Beneficiaries Age 65+ 1120924.08
Number of Day's Supply for All Claims for Beneficaries Age 65+ 453446
Number of Medicare Beneficiaries Age 65+ 927
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 1363
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 6405
Aggregate Cost Paid for Generic Drugs 151336.23
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 3456
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 534796.82
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 4312
Aggregate Cost Paid for Claims Filled by 743589.34
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 2057
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 323917.08
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 5711
by Low-Income Subsidy 954469.08
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 11
Aggregate Cost Paid for Antibiotic Drugs 83.29
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 73.462980319
Number of Beneficiaries Age Less Than 65 140
Number of Beneficiaries Age 65 to 74 435
Number of Beneficiaries Age 75 to 84 383
Number of Female Beneficiaries 523
Number of Male Beneficiaries 544
Number of Non-Hispanic White 1024
Number of Black or African American 15
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not 15
Only Entitlement 872
Average Hierarchical Condition Category 1.5493693074

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