ROBERT VAN BLAKEBURN MD NPI 1164419560

NPI Details

Robert Van Blakeburn, MD is a family medicine in Clinton, OK with 39 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Robert Van Blakeburn, MD NPI is 1164419560. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year:1987

The provider's business location address is:

800 FRISCO AVE
CLINTON, OK
ZIP 73601-306
Phone: (580) 323-2700
Fax: (580) 323-2276

The NPI 1164419560 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 37D1080820 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Insertion of needle into vein for collection of blood sample (HCPCS:36415)
• Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
• Injection of drug or substance under skin or into muscle (HCPCS:96372)
• Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
• Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
• Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
• Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• Automated urinalysis test (HCPCS:81003)
• Annual depression screening, 15 minutes (HCPCS:G0444)
• Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
• Testing for presence of drug, read by direct observation (HCPCS:80305)
• Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
• Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)
• Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
• Detection test by immunoassay technique for other organism (HCPCS:87449)
• Test to measure expiratory airflow and volume (HCPCS:94010)
• Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
• Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
• Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
• Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
• Hospital discharge day management, more than 30 minutes (HCPCS:99239)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
• Blood test, clotting time (HCPCS:85610)
• Removal of impacted ear wax (HCPCS:69210)
• Transitional care management services for problem of high complexity (HCPCS:99496)
• Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
• Destruction of precancer skin growth, 1 growth (HCPCS:17000)
• Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
• Aspiration and/or injection of fluid from large joint (HCPCS:20610)
• Established patient home visit, typically 1 hour (HCPCS:99350)
• Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
• Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
• Transitional care management services for problem of moderate complexity (HCPCS:99495)
• Smoking and tobacco use intensive counseling, 4-10 minutes (HCPCS:99406)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 9/30/2005 and was last updated on 4/18/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.