JOHN DAVID BLEVINS M.D.
NPI 1467423608
Psychiatry & Neurology - Neurology in West Columbia, SC

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment
83.03/100
CMS Quality Rating
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169(803) 936-7372(803) 936-4102 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 20, 2021, Oct 14, 2021, Mar 17, 2018 (3 updates tracked since 2018).

About John David Blevins M.d. NPPES

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

JOHN DAVID BLEVINS M.D. (NPI 1467423608) is an individual neurology provider in West Columbia, South Carolina, licensed in South Carolina (86721) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1467423608
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameJOHN DAVID BLEVINSCredential: M.D.
Location Address2720 SUNSET BLVDWest Columbia, SC 29169-4810
Mailing AddressPo Box 6069West Columbia, SC 29171-6069 · (803) 936-7372 · Fax (803) 936-4102
Fax(803) 936-4102
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 1996
Enumeration DateJanuary 27, 2006
Last NPPES UpdateApril 19, 20233 updates tracked since enumeration
NPPES CertifiedApril 19, 2023
NPI 1467423608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in SC · 86721 Licensed in GA · 058855
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.
2720 SUNSET BLVD, West Columbia, SC 29169

Secondary Practice Locations 2

Location 1820 Saint Sebastian Way, Ste 400Augusta, GA 30901-2651 · Phone (706) 774-5995 · Fax (706) 774-5995
Location 24321 University Pkwy Ste 101Evans, GA 30809-3093 · Phone (706) 774-7400 · Fax (706) 774-7590

Other Identifiers 1

Medicaid7108788VA

Accepted Insurance

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

John David Blevins M.d. 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 ID3971682691
PECOS Enrollment IDI20211102001554
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 7

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 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.
213 services209 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
137 services99 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
135 services119 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.
131 services93 patients
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.
111 services111 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
25 services22 patients

Hospital Affiliations CMS Care Compare

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

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420073
Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29169 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

83.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.45
Promoting Interoperability89
Improvement Activities40
Cost72.17

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
51%328 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Dietitian, Registered
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Occupational Therapist
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Nurse Anesthetist, Certified Registered
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Nurse Anesthetist, Certified Registered
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Nurse Anesthetist, Certified Registered
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Nurse Anesthetist, Certified Registered
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Speech-Language Pathologist
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169
Nurse Practitioner
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169

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 John Blevins's NPI number?

The NPI number for John Blevins is 1467423608. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is John Blevins located?

John Blevins practices at 2720 Sunset Blvd, West Columbia, SC 29169. The listed phone number is (803) 936-7372.

What is John Blevins's specialty?

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

Is John Blevins enrolled in Medicare?

Yes. John Blevins 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.

What insurance does John Blevins accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list John Blevins 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.

Is John Blevins affiliated with any hospitals?

According to CMS data, John Blevins is affiliated with Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for John Blevins was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.