MELANIE JANE BLACKER
NPI 1427217595
Psychiatry & Neurology - Neurology in Pinehurst, NC

Q: What is Melanie Blacker's NPI number?

The NPI number for Melanie Blacker is 1427217595. It was assigned to this individual provider in the NPPES registry on June 4, 2008.

Q: What is Melanie Blacker's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Melanie Blacker was last updated on July 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 04, 2008PECOS EnrolledAccepts Medicare Assignment

88.68/100

CMS Quality Rating

155 MEMORIAL DR, PINEHURST, NC 28374(910) 715-2164 Get Directions Write a Review

NPPES record last updated: July 7, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Melanie Jane Blacker NPPES

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

MELANIE JANE BLACKER (NPI 1427217595) is an individual neurology provider in Pinehurst, North Carolina, licensed in North Carolina (2011-00469) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Firsthealth Moore Regional Hospital, and is a graduate of West Virginia University School Of Medicine (2007).

NPPES Registry Identity

NPI1427217595

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameMELANIE JANE BLACKER

Location Address155 MEMORIAL DRPinehurst, NC 28374-8710

Mailing Address155 Memorial Dr, Po Box 3000Pinehurst, NC 28374-8710 · (910) 715-2164

Phone(910) 715-2164

Sole ProprietorYes

Medical School CMSWest Virginia University School Of MedicineGraduated 2007

Enumeration DateJune 4, 2008

Last NPPES UpdateJuly 7, 2015

✔ NPI 1427217595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in NC · 2011-00469

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

155 MEMORIAL DR, Pinehurst, NC 28374

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Melanie Jane Blacker 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 ID8628214392

PECOS Enrollment IDI20140905002440

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

77 services77 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

65 services56 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

28 services28 patients

Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426

A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340115

Location155 Memorial DrivePinehurst, NC 28374 · Moore County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28374 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

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.

88.68/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.59

Promoting Interoperability

Improvement Activities

Cost

84.03

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.

MS. ASHLEY B CARPENTER REGISTERED DIETICIAN

Dietitian, Registered