DR. MICHAEL DEAN MEDLOCK MD
NPI 1902887185
Preventive Medicine - Addiction Medicine in Salem, MA
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
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Michael Medlock reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Peabody, MA 01960
- Reassigned Medicare billing, Massachusetts enrollment
- 16 clinicians in this Medicare group
Middleton, MA 01949
- Reassigned Medicare billing, Massachusetts enrollment
- 70 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
SALEM, MA 01970
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.
Which organizations bill Medicare for Michael Medlock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Medlock reassigns Medicare benefits to 2 organizations: Congenial Healthcare, LLC (Peabody, MA) and Middleton Family Medicine Urgent Care, LLC (Middleton, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Medlock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Michael Dean Medlock, MD · NPI 1902887185
Addiction Medicine physician in Salem, Massachusetts. Individual provider, active in the CMS NPPES registry since November 7, 2005.
## Identity
- **NPI:** 1902887185 (Entity type: Individual)
- **Enumerated:** November 7, 2005
- **Primary specialty:** Preventive Medicine - Addiction Medicine · taxonomy 2083A0300X
- **State license:** 79690 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 47 CONGRESS ST, Salem, MA 01970
- **Phone:** (978) 744-8388
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Congenial Healthcare, LLC (NPI 1285145441, Peabody, MA); Middleton Family Medicine Urgent Care, LLC (NPI 1902215106, Middleton, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Florida College Of Medicine, class of 1984
## Record status
- **NPPES last updated:** November 18, 2022
- **Other identifiers:** Medicaid 11000546A (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1902887185) · Data from the CMS NPPES public registry.