CHRISTOPHER SHANE BLOMBERG MD, MS
NPI 1982023149
Family Medicine in Lucedale, MS

Q: What is Christopher Blomberg's NPI number?

The NPI number for Christopher Blomberg is 1982023149. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Q: What is Christopher Blomberg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 15, 2014PECOS Enrolled

859 WINTER ST, LUCEDALE, MS 39452(601) 947-3161(601) 947-1331 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 31, 2017 (3 updates tracked since 2017).

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About Christopher Shane Blomberg Md, Ms NPPES

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

CHRISTOPHER SHANE BLOMBERG MD, MS (NPI 1982023149) is an individual family medicine provider in Lucedale, Mississippi, licensed in Mississippi (25078) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Merit Health Biloxi, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1982023149

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCHRISTOPHER SHANE BLOMBERGCredential: MD, MS

Location Address859 WINTER STLucedale, MS 39452-6603

Mailing Address4864 Jackson St, Family MedicineMonroe, LA 71202-6400 · (318) 330-7650

Phone(601) 947-3161

Fax(601) 947-1331

Sole ProprietorNo

Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2017

Enumeration DateApril 15, 2014

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1982023149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MS · 25078

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

859 WINTER ST, Lucedale, MS 39452

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Secondary Practice Locations 2

Location 14864 Jackson St, Family MedicineMonroe, LA 71202-6400 · Phone (318) 330-7650

Location 292 Ratliff StLucedale, MS 39452-6537 · Phone (601) 947-8181 · Fax (601) 947-1331

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health 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 (PECOS)

Christopher Shane Blomberg Md, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193021632

PECOS Enrollment IDI20170916000013

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 11

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.

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

82 services81 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

70 services64 patients

Emergency department visit with straightforward medical decision making 99282

An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.

35 services33 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

33 services33 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

32 services32 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.

26 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Merit Health Biloxi

Acute Care Hospitals · Biloxi, MS

2/5 CMS rating

OwnershipProprietary

CMS Certification Number250007

Location150 Reynoir StreetBiloxi, MS 39530 · Harrison County

Emergency services Birthing friendly

Memorial Hospital At Gulfport

Acute Care Hospitals · Gulfport, MS

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number250019

Location4500 13th StreetGulfport, MS 39502 · Harrison County

Emergency services Birthing friendly

George Regional Health System

Acute Care Hospitals · Lucedale, MS

OwnershipGovernment - Local

CMS Certification Number250036

Location859 Winter StreetLucedale, MS 39452 · George County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39452 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

MR. RHETT SCOTT CRNA

Nurse Anesthetist, Certified Registered