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

Q: 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.

Q: What is Melissa Blackburn's specialty?

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

Q: 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 5 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.

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: November 08, 2026.

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

On this page

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Melissa Blackburn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Barnabas Health Medical Group PC

24 mi

Specialist

225 WILLIAMSON ST
Elizabeth, NJ 07202

Reassigned Medicare billing, New Jersey enrollment
1,894 clinicians in this Medicare group

NPI 1841557246 (888) 724-7123

Mpv New Jersey MD Services PC

45 mi

General Practice

250 OLD HOOK RD
Westwood, NJ 07675

Reassigned Medicare billing, New Jersey enrollment
189 clinicians in this Medicare group

NPI 1215391271 (201) 781-1387

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Quality

77.79

Promoting Interoperability

100

Improvement Activities

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.

Which organizations bill Medicare for Melissa Blackburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Blackburn reassigns Medicare benefits to 2 organizations: Barnabas Health Medical Group PC (Elizabeth, NJ) and Mpv New Jersey MD Services PC (Westwood, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melissa Blackburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Blackburn accept?

Health plans from Oscar Health list Melissa Blackburn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 5 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.