JACQUELYN A BLACKSTONE DO
NPI 1023168358
Obstetrics & Gynecology - Maternal & Fetal Medicine in Albuquerque, NM

Active since January 11, 2007PECOS Enrolled
85.18/100
CMS Quality Rating
4701 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109(505) 727-6853 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 8, 2025, Jun 13, 2016, May 20, 2016 and 1 more (4 updates tracked since 2015).

About Jacquelyn A Blackstone Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELYN A BLACKSTONE DO (NPI 1023168358) is an individual maternal & fetal medicine provider in Albuquerque, New Mexico, licensed in New Mexico (A-1954-16) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1023168358
Entity TypeIndividualFemale
Primary Taxonomy207VM0101X
Provider Legal NameJACQUELYN A BLACKSTONECredential: DO
Location Address4701 MONTGOMERY BLVD NEAlbuquerque, NM 87109-1219
Mailing Address4101 Indian School Rd Ne Ste 110Albuquerque, NM 87110-3991
Sole ProprietorNo
Enumeration DateJanuary 11, 2007
Last NPPES UpdateOctober 29, 20254 updates tracked since enumeration
NPPES CertifiedOctober 29, 2025
NPI 1023168358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License Licensed in NM · A-1954-16
Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

4701 MONTGOMERY BLVD NE, Albuquerque, NM 87109

Secondary Practice Location 1

Location 12211 Lomas Blvd NEAlbuquerque, NM 87106-2719 · Phone (505) 272-3120 · Fax (505) 272-8060

Other Identifiers 2

Medicaid30005994NH
Medicaid289980099ME

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jacquelyn A Blackstone Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Neonatal-Perinatal Medicine)
4701 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Pediatrics (Neonatal-Perinatal Medicine)
4701 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Pediatrics (Neonatal-Perinatal Medicine)
4701 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Pediatrics (Neonatal-Perinatal Medicine)
4701 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Pediatrics (Neonatal-Perinatal Medicine)
4701 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Emergency Medicine
4701 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Occupational Therapist (Hand)
4701 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Surgery
4701 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023168358, enumerated as an "individual" on January 11, 2007.

The provider is located at 4701 MONTGOMERY BLVD NE ALBUQUERQUE, NM 87109 and the phone number is (505) 727-6853.

Obstetrics & Gynecology with taxonomy code 207VM0101X and a focus in Maternal & Fetal Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.