DR. MELODIE MARIAN BLACKMON DO
NPI 1689162257
Emergency Medicine in Tyler, TX

Active since April 28, 2018PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1000 S BECKHAM AVE, TYLER, TX 75701(903) 590-5611 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2023, Dec 28, 2021, Apr 28, 2018 (3 updates tracked since 2018).

About Dr. Melodie Marian Blackmon Do NPPES

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

DR. MELODIE MARIAN BLACKMON DO (NPI 1689162257) is an individual emergency medicine provider in Tyler, Texas, licensed in Texas (S5847) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and is a graduate of University Of Pikeville, Kentucky College Of Osteopathic Med (2018).

NPPES Registry Identity

NPI1689162257
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. MELODIE MARIAN BLACKMONCredential: DO
Location Address1000 S BECKHAM AVETyler, TX 75701-1908
Mailing Address1000 S Beckham AveTyler, TX 75701-1908 · (903) 590-5611
Sole ProprietorNo
Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2018
Enumeration DateApril 28, 2018
Last NPPES UpdateJuly 12, 20233 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
NPI 1689162257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in TX · S5847
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License S5847 (TX)
1000 S BECKHAM AVE, Tyler, TX 75701

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

Dr. Melodie Marian Blackmon Do 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 ID3476963489
PECOS Enrollment IDI20201103001293
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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
129 services128 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
21 services21 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
20 services20 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450083
Location1000 South Beckham AveTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Ut Health East Texas Carthage Hospital

Acute Care Hospitals · Carthage, TX
OwnershipProprietary
CMS Certification Number450210
Location409 Cottage RdCarthage, TX 75633 · Panola County
Emergency services

Ut Health East Texas Athens Hospital

Acute Care Hospitals · Athens, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450389
Location2000 South Palestine StAthens, TX 75751 · Henderson County
Emergency services Birthing friendly

Ut Health East Texas Henderson Hospital

Acute Care Hospitals · Henderson, TX
OwnershipProprietary
CMS Certification Number450475
Location300 Wilson StreetHenderson, TX 75652 · Rusk County
Emergency services Birthing friendly
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450690
Location11937 Us Highway 271Tyler, TX 75708 · Smith County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine
1000 S BECKHAM AVE
TYLER, TX 75701
Nurse Anesthetist, Certified Registered
1000 S BECKHAM AVE
TYLER, TX 75701
Student in an Organized Health Care Education/Training Program
1000 S BECKHAM AVE
TYLER, TX 75701
Internal Medicine
1000 S BECKHAM AVE
TYLER, TX 75701
Internal Medicine
1000 S BECKHAM AVE
TYLER, TX 75701
Nurse Anesthetist, Certified Registered
1000 S BECKHAM AVE
TYLER, TX 75701
Surgery (Trauma Surgery)
1000 S BECKHAM AVE
TYLER, TX 75701
Emergency Medicine
1000 S BECKHAM AVE
TYLER, TX 75701

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 Melodie Blackmon's NPI number?

The NPI number for Melodie Blackmon is 1689162257. It was assigned to this individual provider in the NPPES registry on April 28, 2018.

Where is Melodie Blackmon located?

Melodie Blackmon practices at 1000 S Beckham Ave, Tyler, TX 75701. The listed phone number is (903) 590-5611.

What is Melodie Blackmon's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Melodie Blackmon enrolled in Medicare?

Yes. Melodie 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 Melodie Blackmon accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and HMO Louisiana list Melodie 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.

Is Melodie Blackmon affiliated with any hospitals?

According to CMS data, Melodie Blackmon is affiliated with Ut Health East Texas Tyler Regional Hospital, Ut Health East Texas Carthage Hospital, Ut Health East Texas Athens Hospital, Ut Health East Texas Henderson Hospital and The University Of Texas Health Science Center At Tyler.

When was this NPI record last updated?

The NPPES record for Melodie Blackmon was last updated on July 12, 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.