Blackrock Orthopedic Specialists LLC
NPI 1104570084 · Orthopaedic Surgery Physician · Meridian, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blackrock Orthopedic Specialists LLC is a Orthopaedic Surgery Physician organization in Meridian, ID (NPI 1104570084).
Provider details
- NPI number
- 1104570084
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Corbett Winegar, Owner(801) 928-8290
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-02-09
- Last updated
- 2022-02-18
- Certified
- 2022-02-18
Frequently asked questions
- What is Blackrock Orthopedic Specialists LLC's NPI number?
- Blackrock Orthopedic Specialists LLC's National Provider Identifier (NPI) is 1104570084, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blackrock Orthopedic Specialists LLC?
- Blackrock Orthopedic Specialists LLC is classified in the NPPES registry as Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Blackrock Orthopedic Specialists LLC located?
- Blackrock Orthopedic Specialists LLC's practice location on file with NPPES is 2960 E. St. Lukes St., Meridian, ID 83642.
- What is Blackrock Orthopedic Specialists LLC's phone number?
- The practice phone number listed in the NPPES registry for Blackrock Orthopedic Specialists LLC is (801) 928-8290.
- Does Blackrock Orthopedic Specialists LLC accept Medicare?
- Blackrock Orthopedic Specialists LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Blackrock Orthopedic Specialists LLC?
- The authorized official listed on Blackrock Orthopedic Specialists LLC's NPPES record is Corbett Winegar, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blackrock Orthopedic Specialists LLC's NPI active?
- Yes — Blackrock Orthopedic Specialists LLC's NPI (1104570084) is active in the NPPES registry as of the last update on 2022-02-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.