CHARLES SHANE MEDLOCK MD
NPI 1619125671
Obstetrics & Gynecology in Pensacola, FL

Q: What is Charles Medlock's NPI number?

The NPI number for Charles Medlock is 1619125671. It was assigned to this individual provider in the NPPES registry on September 3, 2008.

Q: What is Charles Medlock'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 Charles Medlock was last updated on December 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 September 03, 2008PECOS EnrolledAccepts Medicare Assignment

90.84/100

CMS Quality Rating

5153 N 9TH AVE STE 207, PENSACOLA, FL 32504(850) 416-5050(850) 416-5022 Get Directions Write a Review

NPPES record last updated: December 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Charles Shane Medlock Md NPPES

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

CHARLES SHANE MEDLOCK MD (NPI 1619125671) is an individual obstetrics & gynecology provider in Pensacola, Florida, licensed in Florida (ME8722) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1619125671

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameCHARLES SHANE MEDLOCKCredential: MD

Location Address5153 N 9TH AVE STE 207Pensacola, FL 32504-5705

Mailing AddressPo Box 2699Pensacola, FL 32513-2699 · (850) 416-5050

Phone(850) 416-5050

Fax(850) 416-5022

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateSeptember 3, 2008

Last NPPES UpdateDecember 6, 2018

✔ NPI 1619125671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in FL · ME8722

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.

5153 N 9TH AVE STE 207, Pensacola, FL 32504

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and more.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

Charles Shane Medlock 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 ID2567500747

PECOS Enrollment IDI20091109000311

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 2

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

27 services27 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

19 services19 patients

Hospital Affiliations CMS Care Compare

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

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100025

Location5151 N 9th AvePensacola, FL 32504 · Escambia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32504 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

90.84/100

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

Scored through an Alternative Payment Model

Quality

81.68

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

91%164 patients4/55-star benchmark: 93%

Cervical Cancer Screening

98%1,067 patients5/55-star benchmark: 98%

Colorectal Cancer Screening

69%259 patients4/55-star benchmark: 88%

Controlling High Blood Pressure

62%97 patients3/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

47%45 patients3/55-star benchmark: 91%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

50%1,070 patients3/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

38%1,384 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 70% · 1,196 patients

Patients screened: 72% · 1,196 patients

54%39 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 2

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

MRS. MELISSA ANNE SHAW APRN

Nurse Practitioner (Women's Health)

5153 N 9TH AVE STE 207
PENSACOLA, FL 32504

Escambia County (850) 416-5050

SACRED HEART MEDICAL GROUP

Obstetrics & Gynecology

5153 N 9TH AVE STE 207
PENSACOLA, FL 32504

Escambia County (850) 416-2671

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 Charles Medlock's NPI number?

The NPI number for Charles Medlock is 1619125671. It was assigned to this individual provider in the NPPES registry on September 3, 2008.

Where is Charles Medlock located?

Charles Medlock practices at 5153 N 9th Ave Ste 207, Pensacola, FL 32504. The listed phone number is (850) 416-5050.

What is Charles Medlock's specialty?

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

Is Charles Medlock enrolled in Medicare?

Yes. Charles Medlock 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 Charles Medlock accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida list Charles Medlock 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 Charles Medlock affiliated with any hospitals?

According to CMS data, Charles Medlock is affiliated with Sacred Heart Hospital.

When was this NPI record last updated?

The NPPES record for Charles Medlock was last updated on December 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.