Michael Blackmon, M.D.
NPI 1043202849 · Pulmonary Disease Physician · Plano, TX
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Blackmon, M.D. is a Pulmonary Disease Physician provider in Plano, TX (NPI 1043202849).
Provider details
- NPI number
- 1043202849
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 311912 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
58 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 38 | $197 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 20 | $110 |
Typical Medicare-allowed amounts for these services range $110–$197 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (2)
- 11104 Parkview Circle Dr Ste 410Fort Wayne, IN 46845-0025Phone: (260) 266-5260Fax: (260) 266-5279
- 309 Jackson StMonroe, LA 71201-7407Phone: (318) 966-4541Fax: (318) 966-4543
Registry dates
- Enumerated
- 2005-08-17
- Last updated
- 2022-10-11
- Certified
- 2022-10-11
Frequently asked questions
- What is Michael Blackmon's NPI number?
- Michael Blackmon's National Provider Identifier (NPI) is 1043202849, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Blackmon's specialty?
- Michael Blackmon is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Blackmon located?
- Michael Blackmon's practice location on file with NPPES is 6124 W Parker Rd, Plano, TX 75093-8122.
- What is Michael Blackmon's phone number?
- The practice phone number listed in the NPPES registry for Michael Blackmon is (214) 778-1075.
- Does Michael Blackmon accept Medicare?
- Michael Blackmon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Blackmon's NPI active?
- Yes — Michael Blackmon's NPI (1043202849) is active in the NPPES registry as of the last update on 2022-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.