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Zachary Dylan Blackstun

NPI 1245891175ActiveIndividual· Anesthesiology· Plymouth, MN

Anesthesiology in Plymouth, Minnesota, trained at Creighton University School of Medicine (class of 2019). Medicare paid $23,243 for services to 250 patients in 2024.

Overview

NPI1245891175
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJun 21, 2019
Last updated in NPPESJul 5, 2023
Certified by providerJul 5, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Anesthesiology Primary207L00000X73539MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Anesthesiology (MN)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients250
Services billed286 across 63 procedure codes
Paid by Medicare$23,243

Medicare sources and data years

Education and affiliations

Medical schoolCreighton University School of Medicine
Graduation year2019
Medicare specialtyAnesthesiology

Medical group

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Anesthesiology providers in Plymouth

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