JOHN B BLALOCK JR. M.D. - NPI 1063685352

Q: What is the provider's specialty?

The provider's specialty is Surgery with taxonomy code 208600000X.

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About John B Blalock Jr. M.d. NPPES

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

JOHN B BLALOCK JR. M.D. (NPI 1063685352) is an individual surgery provider in Culpeper, Virginia, licensed in Virginia (0101263724) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Birmingham.

NPPES Registry Identity

NPI1063685352

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameJOHN B BLALOCK JR.Credential: M.D.

Location Address541 SUNSET LN STE 103Culpeper, VA 22701-3903

Mailing Address2660 10th Ave S, Suite 238Birmingham, AL 35205-1605 · (205) 933-7301

Phone(540) 829-4440

Fax(540) 825-4026

Sole ProprietorYes

Enumeration DateApril 8, 2008

Last NPPES UpdateMay 27, 2020

NPPES CertifiedMay 27, 2020

✔ NPI 1063685352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in VA · 0101263724✔ Licensed in AL · 9169

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

541 SUNSET LN STE 103, Culpeper, VA 22701

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Secondary Practice Location 1

Location 12660 10th Ave S, Suite 238Birmingham, AL 35205-1605 · Phone (205) 933-7301

Other Identifiers 2

Medicaid1063685352VA

Medicaid000087171AL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John B Blalock Jr. M.d. 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 22701 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

Other Providers at the Same Location NPPES 6

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

KELSEY R WOYCIK PA

Physician Assistant