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DR. MELISSA BLACKBURN D.O
NPI 1164833059
Obstetrics & Gynecology in Tinton Falls, NJ

Active since May 13, 2014PECOS Enrolled
93.71/100
CMS Quality Rating
55 N GILBERT ST STE 1204, TINTON FALLS, NJ 07701(215) 873-9759(215) 310-5457 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 22, 2026, Aug 8, 2018 (2 updates tracked since 2018).

About Dr. Melissa Blackburn D.o NPPES

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

DR. MELISSA BLACKBURN D.O (NPI 1164833059) is an individual obstetrics & gynecology provider in Tinton Falls, New Jersey, licensed in New Jersey (25MB10234200) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164833059
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. MELISSA BLACKBURNCredential: D.O
Location Address55 N GILBERT ST STE 1204Tinton Falls, NJ 07701-4955
Mailing Address55 N Gilbert St Ste 1204Tinton Falls, NJ 07701-4955 · (215) 873-9759 · Fax (215) 310-5457
Phone(215) 873-9759
Fax(215) 310-5457
Sole ProprietorNo
Enumeration DateMay 13, 2014
Last NPPES UpdateMay 22, 20262 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
✔ NPI 1164833059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NJ · 25MB10234200
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
55 N GILBERT ST STE 1204, Tinton Falls, NJ 07701
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Melissa Blackburn D.o 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 07701 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

THE MODERN WOMAN
Obstetrics & Gynecology (Gynecology)
55 N GILBERT ST STE 1204
TINTON FALLS, NJ 07701
Monmouth County (732) 808-3288

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Blackburn's NPI number?

The NPI number for Melissa Blackburn is 1164833059. It was assigned to this individual provider in the NPPES registry on May 13, 2014.

Where is Melissa Blackburn located?

Melissa Blackburn practices at 55 N Gilbert St Ste 1204, Tinton Falls, NJ 07701. The listed phone number is (215) 873-9759.

What is Melissa Blackburn's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Melissa Blackburn enrolled in Medicare?

Yes. Melissa Blackburn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Melissa Blackburn was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.