HAROLD TODD BLACKMON FNP
NPI 1639792955
Nurse Practitioner - Family in Opelika, AL

Active since May 20, 2020PECOS EnrolledAccepts Medicare Assignment
84.04/100
CMS Quality Rating
2601 VILLAGE PROFESSIONAL DR N, OPELIKA, AL 36801(334) 528-5400(334) 528-5421 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 16, 2021, May 20, 2020 (2 updates tracked since 2020).

About Harold Todd Blackmon Fnp NPPES

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

HAROLD TODD BLACKMON FNP (NPI 1639792955) is an individual family provider in Opelika, Alabama, licensed in Alabama (1-081439) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1639792955
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameHAROLD TODD BLACKMONCredential: FNP
Location Address2601 VILLAGE PROFESSIONAL DR NOpelika, AL 36801-4784
Mailing Address2601 Village Professional Dr NOpelika, AL 36801-4784 · (334) 528-5400 · Fax (334) 528-5421
Fax(334) 528-5421
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 20, 2020
Last NPPES UpdateAugust 16, 20212 updates tracked since enumeration
NPPES CertifiedAugust 16, 2021
NPI 1639792955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AL · 1-081439
2601 VILLAGE PROFESSIONAL DR N, Opelika, AL 36801

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Harold Todd Blackmon Fnp 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 ID244658169
PECOS Enrollment IDI20200909002260
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
765 services407 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.
24 services20 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
21 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36801 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

84.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.86
Promoting Interoperability100
Improvement Activities40
Cost78.94

Other Providers at the Same Location NPPES 11

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

Internal Medicine (Cardiovascular Disease)
2601 VILLAGE PROFESSIONAL DR N
OPELIKA, AL 36801
Nurse Practitioner (Primary Care)
2601 VILLAGE PROFESSIONAL DR N
OPELIKA, AL 36801
Nurse Practitioner
2601 VILLAGE PROFESSIONAL DR N
OPELIKA, AL 36801
Internal Medicine (Cardiovascular Disease)
2601 VILLAGE PROFESSIONAL DR N
OPELIKA, AL 36801
Internal Medicine (Interventional Cardiology)
2601 VILLAGE PROFESSIONAL DR N
OPELIKA, AL 36801
Internal Medicine (Cardiovascular Disease)
2601 VILLAGE PROFESSIONAL DR N
OPELIKA, AL 36801
Nurse Practitioner (Family)
2601 VILLAGE PROFESSIONAL DR N
OPELIKA, AL 36801
Internal Medicine (Cardiovascular Disease)
2601 VILLAGE PROFESSIONAL DR N
OPELIKA, AL 36801

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 Harold Blackmon's NPI number?

The NPI number for Harold Blackmon is 1639792955. It was assigned to this individual provider in the NPPES registry on May 20, 2020.

Where is Harold Blackmon located?

Harold Blackmon practices at 2601 Village Professional Dr N, Opelika, AL 36801. The listed phone number is (334) 528-5400.

What is Harold Blackmon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Harold Blackmon enrolled in Medicare?

Yes. Harold Blackmon 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 Harold Blackmon accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Harold Blackmon 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 Harold Blackmon was last updated on August 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.