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MELANIE DIANE BLACKBURN M.D.
NPI 1750410965
Pediatrics in Columbia, SC

Active since March 05, 2007PECOS Enrolled
99.32/100
CMS Quality Rating
14 RICHLAND MEDICAL PARK DR STE 320, COLUMBIA, SC 29203(803) 434-6771(803) 434-3955 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 9, 2024, Jun 30, 2021, Mar 23, 2018 (3 updates tracked since 2018).

About Melanie Diane Blackburn M.d. NPPES

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

MELANIE DIANE BLACKBURN M.D. (NPI 1750410965) is an individual pediatrics provider in Columbia, South Carolina, licensed in South Carolina (28185) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750410965
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMELANIE DIANE BLACKBURNCredential: M.D.
Location Address14 RICHLAND MEDICAL PARK DR STE 320Columbia, SC 29203-6896
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 695-6697
Phone(803) 434-6771
Fax(803) 434-3955
Sole ProprietorNo
Enumeration DateMarch 5, 2007
Last NPPES UpdateOctober 9, 20243 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
✔ NPI 1750410965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in SC · 28185
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
14 RICHLAND MEDICAL PARK DR STE 320, Columbia, SC 29203
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Other Names 1

Former Name (1)Melanie D Hooker

Other Identifiers 1

Medicaid281858SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melanie Diane Blackburn M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
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.

99.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.59
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.

WILLIAM COLE ANDREW D.O.
Internal Medicine
14 RICHLAND MEDICAL PARK DR STE 320
COLUMBIA, SC 29203
Richland County (803) 434-8721
MRS. KAREN DARLENE BERRY NP
Nurse Practitioner
14 RICHLAND MEDICAL PARK DR STE 320
COLUMBIA, SC 29203
Richland County (803) 434-6771
JAMES THELBERT FIELDS MD
Hospitalist
14 RICHLAND MEDICAL PARK DR STE 320
COLUMBIA, SC 29203
Richland County (803) 434-6771
MICHAEL CORY LEVER MD
Pediatrics
14 RICHLAND MEDICAL PARK DR STE 320
COLUMBIA, SC 29203
Richland County (803) 434-6771
KRISTINE WHALEY
Nurse Practitioner (Acute Care)
14 RICHLAND MEDICAL PARK DR STE 320
COLUMBIA, SC 29203
Richland County (803) 434-6771
JOSHUA BENJAMIN SKAGGS MD
Emergency Medicine
14 RICHLAND MEDICAL PARK DR STE 320
COLUMBIA, SC 29203
Richland County (803) 434-1663
RICHARD JACKSON SMITH DO
Hospitalist
14 RICHLAND MEDICAL PARK DR STE 320
COLUMBIA, SC 29203
Richland County (803) 434-6771
SAMUEL HENDERSON M.D.
Family Medicine
14 RICHLAND MEDICAL PARK DR STE 320
COLUMBIA, SC 29203
Richland County (803) 434-6771

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 Melanie Blackburn's NPI number?

The NPI number for Melanie Blackburn is 1750410965. It was assigned to this individual provider in the NPPES registry on March 5, 2007. The provider is also known as Melanie D Hooker.

Where is Melanie Blackburn located?

Melanie Blackburn practices at 14 Richland Medical Park Dr Ste 320, Columbia, SC 29203. The listed phone number is (803) 434-6771.

What is Melanie Blackburn's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Melanie Blackburn enrolled in Medicare?

Yes. Melanie Blackburn is registered in the Medicare PECOS enrollment system.

What insurance does Melanie Blackburn accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Melanie Blackburn 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 Melanie Blackburn was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.