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DR. MICHAEL DEAN MEDLOCK MD
NPI 1902887185
Preventive Medicine - Addiction Medicine in Salem, MA

Active since November 07, 2005PECOS EnrolledAccepts Medicare Assignment
47 CONGRESS ST, SALEM, MA 01970(978) 744-8388 Get Directions Write a Review

NPPES record last updated: November 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2022, Apr 8, 2019 (2 updates tracked since 2019).

About Dr. Michael Dean Medlock Md NPPES

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

DR. MICHAEL DEAN MEDLOCK MD (NPI 1902887185) is an individual addiction medicine provider in Salem, Massachusetts, licensed in Massachusetts (79690) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Peabody, and is a graduate of University Of Florida College Of Medicine (1984).

NPPES Registry Identity

NPI1902887185
Entity TypeIndividualMale
Primary Taxonomy2083A0300X
Provider Legal NameDR. MICHAEL DEAN MEDLOCKCredential: MD
Location Address47 CONGRESS STSalem, MA 01970
Mailing Address43 Turning Mill RdLexington, MA 02420-1319 · (617) 833-8928
Phone(978) 744-8388
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1984
Enumeration DateNovember 7, 2005
Last NPPES UpdateNovember 18, 20222 updates tracked since enumeration
NPPES CertifiedNovember 18, 2022
✔ NPI 1902887185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
License✔ Licensed in MA · 79690
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Also ListedNeurological SurgeryTaxonomy 207T00000X · License 79690 (MA)
Also ListedPediatricsTaxonomy 208000000X · License 79690 (MA)
47 CONGRESS ST, Salem, MA 01970
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Secondary Practice Location 1

Location 14 Centennial Dr, North Shore Neurosurgery and SpinePeabody, MA 01960-7935 · Phone (978) 977-0586 · Fax (978) 977-0905

Other Identifiers 1

Medicaid11000546AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Michael Dean Medlock Md 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 ID4880684109
PECOS Enrollment IDI20040517001313
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 2

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
75 services18 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01970 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

RODRIGO TAVARES RODRIGUES MD
Internal Medicine
47 CONGRESS ST
SALEM, MA 01970
Essex County (978) 744-8388
MADGE FLEURIMOND CEMELUS PA-C
Physician Assistant (Medical)
47 CONGRESS ST
SALEM, MA 01970
Essex County (978) 744-8388
SASHA PIERINA GRULLON NP
Nurse Practitioner
47 CONGRESS ST
SALEM, MA 01970
Essex County (978) 744-8388
BENJAMIN F LEVINE
Social Worker (Clinical)
47 CONGRESS ST
SALEM, MA 01970
Essex County (978) 809-2308
MARY PRUM TALJIC NP
Nurse Practitioner (Family)
47 CONGRESS ST
SALEM, MA 01970
Essex County (978) 744-8388
DR. RACHAEL J. CONSOLI MD
Obstetrics & Gynecology
47 CONGRESS ST, NORTH SHORE COMMUNITY HEALTH CENTER
SALEM, MA 01970
Essex County (978) 744-8388
ELIZABETH MARGARET RYAN ROHR CNP, FNP-BC
Nurse Practitioner (Family)
47 CONGRESS ST
SALEM, MA 01970
Essex County (978) 744-8388
CHRISTINE MALAGRIDA NP
Nurse Practitioner (Family)
47 CONGRESS ST
SALEM, MA 01970
Essex County (978) 744-8388

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 Michael Medlock's NPI number?

The NPI number for Michael Medlock is 1902887185. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Michael Medlock located?

Michael Medlock practices at 47 Congress St, Salem, MA 01970. The listed phone number is (978) 744-8388.

What is Michael Medlock's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Is Michael Medlock enrolled in Medicare?

Yes. Michael Medlock 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 Michael Medlock accept?

Health plans from Anthem Blue Cross and Blue Shield list Michael Medlock 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 Michael Medlock was last updated on November 18, 2022. 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.