MELROSE INGLE BLACKETT MD
NPI 1376623819
Obstetrics & Gynecology in Memphis, TN

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
76.51/100
CMS Quality Rating
6215 HUMPHREYS BLVD STE 300, MEMPHIS, TN 38120(901) 757-0229(901) 757-9503 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 15, 2021, Oct 25, 2016 (2 updates tracked since 2016).

About Melrose Ingle Blackett Md NPPES

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

MELROSE INGLE BLACKETT MD (NPI 1376623819) is an individual obstetrics & gynecology provider in Memphis, Tennessee, licensed in Tennessee (0000015010) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Memphis, and is a graduate of Washington University School Of Medicine (1982).

NPPES Registry Identity

NPI1376623819
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMELROSE INGLE BLACKETTCredential: MD
Location Address6215 HUMPHREYS BLVD STE 300Memphis, TN 38120-2382
Mailing Address965 Ridge Lake Blvd Ste 103Memphis, TN 38120-9446 · Fax (901) 227-8591
Fax(901) 757-9503
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1982
Enumeration DateOctober 17, 2006
Last NPPES UpdateApril 15, 20212 updates tracked since enumeration
NPPES CertifiedApril 15, 2021
✔ NPI 1376623819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TN · 0000015010
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.
6215 HUMPHREYS BLVD STE 300, Memphis, TN 38120

Secondary Practice Location 1

Location 16225 Humphreys BlvdMemphis, TN 38120-2373 · Phone (901) 227-9103 · Fax (901) 227-9105

Other Identifiers 1

Medicaid3726929TN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Melrose Ingle Blackett Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749244184
PECOS Enrollment IDI20041122000648
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

2

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

Internal Medicine
8970 WINCHESTER RD
Memphis, TN 38125
  • Reassigned Medicare billing, Tennessee enrollment
  • 581 clinicians in this Medicare group
Internal Medicine
1629 WOODLAWN AVE
Dyersburg, TN 38024
  • Reassigned Medicare billing, Tennessee enrollment
  • 109 clinicians in this Medicare group

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 38120 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

76.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.53
Promoting Interoperability82
Improvement Activities40
Cost66.19

Other Providers at the Same Location NPPES 2

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

Obstetrics & Gynecology (Gynecology)
6215 HUMPHREYS BLVD STE 300
MEMPHIS, TN 38120
Pediatrics (Pediatric Gastroenterology)
6215 HUMPHREYS BLVD STE 300
MEMPHIS, TN 38120

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 Melrose Blackett's NPI number?

The NPI number for Melrose Blackett is 1376623819. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Melrose Blackett located?

Melrose Blackett practices at 6215 Humphreys Blvd Ste 300, Memphis, TN 38120. The listed phone number is (901) 757-0229.

What is Melrose Blackett's specialty?

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

Is Melrose Blackett enrolled in Medicare?

Yes. Melrose Blackett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Melrose Blackett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melrose Blackett reassigns Medicare benefits to 2 organizations: Baptist Memorial Medical Group Inc (Memphis, TN) and Wt Medical Associates (Dyersburg, TN). 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 Melrose Blackett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melrose Blackett accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Melrose Blackett 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 Melrose Blackett was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.