Stacy L. Blackburn, D.O.
NPI 1952551525ActiveIndividual· Family Medicine· Prairie Du Chien, WI
Family Medicine (D.O.) with Mayo Clinic Health System-Southwest Wisconsin Region Inc, practicing in Prairie Du Chien, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $380,154 for 4,627 claims, against $1,949 paid for services in 2024. Lists Crossing Rivers Health Medical Center and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1952551525 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Sep 19, 2008 |
| Last updated in NPPES | Sep 16, 2020 |
| Certified by provider | Sep 16, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 52150 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 88 |
|---|---|
| Services billed | 125 across 8 procedure codes |
| Paid by Medicare | $1,949 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,627 · 9,734 30-day fills |
|---|---|
| Patients | 314 |
| Total drug cost | $380,154 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Family Practice |
Medical group
- Mayo Clinic Health System-Southwest Wisconsin Region IncLa Crosse, WI · 534 clinicians
Hospital affiliations
- Crossing Rivers Health Medical CenterPrairie Du Chien, WI
- Mayo Clinic Health System-Franciscan Medical Center IncLa Crosse, WI
- Mayo Clinic Hlth Systm Franciscan Hlthcare SpartaSparta, WI
- Mayo Clinic Hospital RochesterRochester, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 18 family medicine physicians in Prairie Du Chien · All family medicine physicians in Wisconsin