Darlene Blanchard, MD
NPI 1912087347 · Surgery Physician · Fredericksburg, VA
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Darlene Blanchard, MD is a Surgery Physician provider in Fredericksburg, VA (NPI 1912087347).
Provider details
- NPI number
- 1912087347
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 0101242194 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,148 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 714 | $87 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 94 | $123 |
| X-Ray of Surgical Specimen76098 | 53 | $14 |
| Partial Removal of Breast19301 | 51 | $628 |
| Biopsy Or Removal of Deep Lymph Nodes of Underarm38525 | 48 | $225 |
| Imaging of Lymph Nodes During Surgery38900 | 45 | $128 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Anastrozole | 76 | 26 |
| Tamoxifen Citrate | 61 | 18 |
| Raloxifene Hcl | 60 | 24 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 37 | 36 |
| Tramadol Hcl | 32 | 29 |
| Cephalexin | 25 | 25 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-17
- Last updated
- 2011-01-05
Frequently asked questions
- What is Darlene Blanchard's NPI number?
- Darlene Blanchard's National Provider Identifier (NPI) is 1912087347, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Darlene Blanchard's specialty?
- Darlene Blanchard is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Darlene Blanchard located?
- Darlene Blanchard's practice location on file with NPPES is 4548 Empire Ct, Fredericksburg, VA 22408-1939.
- What is Darlene Blanchard's phone number?
- The practice phone number listed in the NPPES registry for Darlene Blanchard is (540) 373-2244.
- Does Darlene Blanchard accept Medicare?
- Darlene Blanchard is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Darlene Blanchard's NPI active?
- Yes — Darlene Blanchard's NPI (1912087347) is active in the NPPES registry as of the last update on 2011-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.