Doctor profile · Federal record
Dr. Vickie Blackburn, NP
Nurse Practitioner (CMS: General Surgery) · Nurse Practitioner · Acute Care Nurse Practitioner · Rock Hill, SC
- NPI 1487656708
- Accepts Medicare
- MIPS 92.1 / 100 · 2023
- 24 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1721 Ebenezer RD Ste 175
Rock Hill, SC 297321188
(803) 324-5256
fax (803) 328-0440 - Mailing address
-
Po Box 604350
Charlotte, NC 282604350
Credentials & registration
- NPI registered
- June 2005 — 21 yrs on file
- Profile last updated
- March 26, 2025
- Year of graduation
- 2002 — 24 yrs since
- Specialty taxonomy
- 363L00000X — NUCC code
- State licenses (2)
- South Carolina #2650 · North Carolina #5014444
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1487656708. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
183
Distinct HCPCS
7
Medicare allowed
$17,065
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 46 | 42 | $71 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 41 | 41 | $89 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 34 | 27 | $45 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 21 | 21 | $133 | |
12032 |
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 15 | 13 | $240 | |
10060 |
Simple or single drainage of skin abscess | 14 | 11 | $99 | |
11402 |
Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm | 12 | 11 | $68 |
In context: peer comparison
Among 9 peers in this city , average services per provider: 62. This provider delivers 3.0× the peer median.Open Payments
Industry payments received
All-time total
$20
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, Inc. | 1 | $20.07 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
14
Patients
13
Total drug cost
$83
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Doxycycline Hyclate | Generic | 14 | 13 | $83 |
Hospital affiliations
Frequently asked questions
What is Dr. Vickie Blackburn's medical specialty?
Dr. Vickie Blackburn practices Nurse Practitioner in Rock Hill, SC.
Where does Dr. Vickie Blackburn practice?
Dr. Vickie Blackburn practices at 1721 Ebenezer RD Ste 175, Rock Hill, SC 297321188. Office phone: 8033245256.
What is Dr. Vickie Blackburn's NPI?
Dr. Vickie Blackburn's National Provider Identifier (NPI) is 1487656708, issued by NPPES.
Does Dr. Vickie Blackburn accept Medicare assignment?
Yes. Dr. Vickie Blackburn accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Vickie Blackburn commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99203); Established patient office or other outpatient visit (HCPCS 99212). Source: CMS Medicare Physician & Other Practitioners file.