Doctor profile · Federal record

Dr. Zachary Blackstun

Anesthesiology Physician (CMS: Anesthesiology) · Plymouth, MN

  • NPI 1245891175
  • Accepts Medicare
  • 7 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
14700 28Th Ave N Ste 20
Plymouth, MN 554474876
(763) 559-7779
fax (763) 450-3986
Mailing address
Po Box 47159
Plymouth, MN 554470159

Credentials & registration

NPPES · NUCC
NPI registered
June 2019 — 7 yrs on file
Profile last updated
July 5, 2023
Year of graduation
2019 — 7 yrs since
Specialty taxonomy
207L00000X — NUCC code
State license (1)
Minnesota #73539

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1245891175. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
62
Distinct HCPCS
4
Medicare allowed
$3,663
HCPCS Description Services Patients Avg allowed
00731 Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 22 22 $73
00142 Anesthesia for lens surgery 15 15 $58
00104 Anesthesia for electroshock therapy 14 11 $51
36620 Insertion of artery tube for blood sampling or infusion through skin 11 11 $42

In context: peer comparison

Among 19 peers in Plymouth Anesthesiology Physician, average services per provider: 19. This provider delivers 3.3× the peer median.

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Zachary Blackstun's medical specialty?
Dr. Zachary Blackstun practices Anesthesiology Physician in Plymouth, MN.
Where does Dr. Zachary Blackstun practice?
Dr. Zachary Blackstun practices at 14700 28Th Ave N Ste 20, Plymouth, MN 554474876. Office phone: 7635597779.
What is Dr. Zachary Blackstun's NPI?
Dr. Zachary Blackstun's National Provider Identifier (NPI) is 1245891175, issued by NPPES.
Does Dr. Zachary Blackstun accept Medicare assignment?
Yes. Dr. Zachary Blackstun accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Zachary Blackstun commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS 00731); Anesthesia for lens surgery (HCPCS 00142); Anesthesia for electroshock therapy (HCPCS 00104). Source: CMS Medicare Physician & Other Practitioners file.