Melanie Blacker
NPI 1427217595 · Neurology Physician · Pinehurst, NC
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Melanie Blacker is a Neurology Physician provider in Pinehurst, NC (NPI 1427217595).
Provider details
- NPI number
- 1427217595
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
181 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 77 | $126 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 65 | $76 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 28 | $165 |
| Telehealth Consultation, Emergency Department Or Initial Inpatient, Typically 50 Minutes Communicating With the Patient Via TelehealthG0426 | 11 | $126 |
Typical Medicare-allowed amounts for these services range $76–$165 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-06-04
- Last updated
- 2015-07-07
Frequently asked questions
- What is Melanie Blacker's NPI number?
- Melanie Blacker's National Provider Identifier (NPI) is 1427217595, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Melanie Blacker's specialty?
- Melanie Blacker is listed in the NPPES registry with a primary specialty of Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Melanie Blacker located?
- Melanie Blacker's practice location on file with NPPES is 155 Memorial Dr, Pinehurst, NC 28374-8710.
- What is Melanie Blacker's phone number?
- The practice phone number listed in the NPPES registry for Melanie Blacker is (910) 715-2164.
- Does Melanie Blacker accept Medicare?
- Melanie Blacker is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Melanie Blacker's NPI active?
- Yes — Melanie Blacker's NPI (1427217595) is active in the NPPES registry as of the last update on 2015-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.