Doctor profile · Federal record

Dr. Vicki Blackwell, PA

Surgical Physician Assistant (CMS: Physician Assistant) · Tampa, FL

  • NPI 1043235963
  • Accepts Medicare
  • 31 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
3657 Madaca Ln
Tampa, FL 336182048
(800) 991-6117
Additional location
2010 Patton Chapel RD Ste 200
Vestavia Hills, AL 352165784
(205) 910-7599
fax (205) 208-9001
Mailing address
3820 Northdale Blvd Ste 201
Tampa, FL 336241893

Credentials & registration

NPPES · NUCC
NPI registered
July 2006 — 20 yrs on file
Profile last updated
May 1, 2025
Year of graduation
1995 — 31 yrs since
Specialty taxonomy
363AS0400X — NUCC code
State license (1)
Florida #PA9120078
Medicaid
AL #051553463

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1043235963. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
18
Distinct HCPCS
1
Medicare allowed
$933
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 18 12 $52

In context: peer comparison

Among 17 peers in Tampa Surgical Physician Assistant, average services per provider: 34. This provider delivers 0.5× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$427
Transactions
20
Manufacturers
8
Payer (manufacturer) Industry Txns Amount
E.R. Squibb & Sons, L.L.C. 1 $106.07
Abbvie INC. 6 $101.00
Salix Pharmaceuticals, A Division of Bausch Health US, LLC 5 $77.55
Collegium Pharmaceutical, INC. 4 $66.93
Averitas Pharma INC. 1 $23.58
Boston Scientific Corporation 1 $18.20
Saluda Medical Americas, INC. 1 $17.85
Abbott Laboratories 1 $15.64

By nature of payment

Food and Beverage
$427

Frequently asked questions

Auto-generated from federal data
What is Dr. Vicki Blackwell's medical specialty?
Dr. Vicki Blackwell practices Surgical Physician Assistant in Tampa, FL.
Where does Dr. Vicki Blackwell practice?
Dr. Vicki Blackwell practices at 3657 Madaca Ln, Tampa, FL 336182048. Office phone: 8009916117.
What is Dr. Vicki Blackwell's NPI?
Dr. Vicki Blackwell's National Provider Identifier (NPI) is 1043235963, issued by NPPES.
Does Dr. Vicki Blackwell accept Medicare assignment?
Yes. Dr. Vicki Blackwell accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Vicki Blackwell commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.