MRS. VICKI A BLACKMON-DAVIS M.D. - NPI 1861403313 - Internal Medicine in Arlington, TX

Q: What is Vicki Blackmon-davis's NPI number?

The NPI number for Vicki Blackmon-davis is 1861403313. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Q: What is Vicki Blackmon-davis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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About Mrs. Vicki A Blackmon-davis M.d. NPPES

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

MRS. VICKI A BLACKMON-DAVIS M.D. (NPI 1861403313) is an individual internal medicine provider in Arlington, Texas, licensed in Texas (F9213) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Frisco.

NPPES Registry Identity

NPI1861403313

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameMRS. VICKI A BLACKMON-DAVISCredential: M.D.

Location Address1020 N COLLINS STArlington, TX 76011-6134

Mailing AddressPo Box 360541Pittsburgh, PA 15251-6541 · (972) 525-9900 · Fax (469) 333-7988

Phone(972) 525-9900

Fax(469) 333-7988

Sole ProprietorYes

Enumeration DateAugust 10, 2006

Last NPPES UpdateJanuary 26, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2023

✔ NPI 1861403313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · F9213

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedLegal MedicineTaxonomy 173000000X · License F9213 (TX)

1020 N COLLINS ST, Arlington, TX 76011

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Secondary Practice Location 1

Location 18680 main st.frisco, TX 75034 · Phone (972) 377-2447 · Fax (972) 377-3006

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Vicki A Blackmon-davis 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 76011 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

$129.63 typical visit price

range $56.47 – $171.07

Typical copayment $32.40 (range $14.11 – $42.76)

Most-billed visit code 99204

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers24 claims34 services$5.90 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

MR. JITENDRA M DEORA

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