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TERRI LYNN BLACKWELL PA-C
NPI 1821340654
Physician Assistant in Mount Pleasant, SC

Active since October 03, 2012PECOS EnrolledAccepts Medicare Assignment
851 LEONARD FULGHUM DR STE 101, MOUNT PLEASANT, SC 29464(843) 971-9350 Get Directions Write a Review

NPPES record last updated: June 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Terri Lynn Blackwell Pa-c NPPES

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

TERRI LYNN BLACKWELL PA-C (NPI 1821340654) is an individual physician assistant in Mount Pleasant, South Carolina, licensed in South Carolina (TL 1833) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with East Cooper Medical Center, and maintains a secondary practice location in Mount Pleasant.

NPPES Registry Identity

NPI1821340654
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTERRI LYNN BLACKWELLCredential: PA-C
Location Address851 LEONARD FULGHUM DR STE 101Mount Pleasant, SC 29464-3793
Mailing Address1300 Hospital Dr Ste 150Mount Pleasant, SC 29464-3243 · (843) 971-9350 · Fax (843) 971-9351
Phone(843) 971-9350
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 3, 2012
Last NPPES UpdateJune 12, 2019
✔ NPI 1821340654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in SC · TL 1833
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
851 LEONARD FULGHUM DR STE 101, Mount Pleasant, SC 29464
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Secondary Practice Location 1

Location 11300 Hospital Dr Ste 150Mount Pleasant, SC 29464-3243 · Phone (843) 971-9350 · Fax (843) 971-9351

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 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

Terri Lynn Blackwell Pa-c 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 ID9830334705
PECOS Enrollment IDI20130325000324
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 8

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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
79 services78 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
77 services68 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
76 services68 patients
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.
67 services60 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
21 services21 patients
Injection, methylprednisolone acetate, 40 mg J1030
Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
20 services16 patients

Hospital Affiliations CMS Care Compare

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

East Cooper Medical Center

Acute Care Hospitals · Mount Pleasant, SC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number420089
Location2000 Hospital DrMount Pleasant, SC 29464 · Charleston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29464 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
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
97%379 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
91%65 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
62%343 patients3/55-star benchmark: 97%
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…
52%268 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 89% · 35 patients
89%35 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
92%343 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
16%343 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
39%343 patients
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 12

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

EAST COOPER PHYSICIAN GROUP LLC
Durable Medical Equipment & Medical Supplies
851 LEONARD FULGHUM DR STE 101
MT PLEASANT, SC 29464
Charleston County (843) 884-2133
LAUREN LAMENDOLA WELLING PA-C
Physician Assistant (Medical)
851 LEONARD FULGHUM DR STE 101
MOUNT PLEASANT, SC 29464
Charleston County (843) 971-9350
MRS. SARAH BRANYON VOGES APRN, ATC, FNP-C
Nurse Practitioner (Family)
851 LEONARD FULGHUM DR STE 101
MT PLEASANT, SC 29464
Charleston County (843) 971-9350
DR. DUSTIN S HAMBRIGHT MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
851 LEONARD FULGHUM DR STE 101
MOUNT PLEASANT, SC 29464
Charleston County (843) 971-9350
EAST COOPER PHYSICIAN GROUP LLC
Internal Medicine (Sports Medicine)
851 LEONARD FULGHUM DR STE 101
MT PLEASANT, SC 29464
Charleston County (843) 971-9350
AMY C KING CNS
Clinical Nurse Specialist
851 LEONARD FULGHUM DR STE 101
MOUNT PLEASANT, SC 29464
Charleston County (843) 971-9350
JOHN DAVISON SCHULTE PA-C
Physician Assistant
851 LEONARD FULGHUM DR STE 101
MT PLEASANT, SC 29464
Charleston County (843) 971-9350
EAST COOPER PHYSICIAN GROUP LLC
Orthopaedic Surgery
851 LEONARD FULGHUM DR STE 101
MT PLEASANT, SC 29464
Charleston County (843) 971-9350

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 Terri Blackwell's NPI number?

The NPI number for Terri Blackwell is 1821340654. It was assigned to this individual provider in the NPPES registry on October 3, 2012.

Where is Terri Blackwell located?

Terri Blackwell practices at 851 Leonard Fulghum Dr Ste 101, Mount Pleasant, SC 29464. The listed phone number is (843) 971-9350.

What is Terri Blackwell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Terri Blackwell enrolled in Medicare?

Yes. Terri Blackwell 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 Terri Blackwell accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Terri Blackwell 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 Terri Blackwell affiliated with any hospitals?

According to CMS data, Terri Blackwell is affiliated with East Cooper Medical Center.

When was this NPI record last updated?

The NPPES record for Terri Blackwell was last updated on June 12, 2019. 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.