NPI Details
MR. Mark Blackwelder, M.D. is an internal medicine in Ruston, LA with 41 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MR. Mark Blackwelder, M.D. NPI is 1245200880. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year:1985
The provider's business location address is:
1200 S FARMERVILLE ST
RUSTON, LA
ZIP 71270-941
Phone: (318) 255-3690
The NPI 1245200880 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Injection, denosumab, 1 mg (HCPCS:J0897)
- Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
- Hospital discharge day management, 30 minutes or less (HCPCS:99238)
- Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
- Influenza vaccine split virus, preservative free (HCPCS:90662)
- Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
- Transitional care management services for problem of high complexity (HCPCS:99496)
- Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
- Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
- Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
The enumeration date for this NPI number is 1/25/2006 and was last updated on 10/15/2009.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207R00000X | Internal Medicine | | 18456 | LOUISIANA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 0599520002 | MEDICARE NSC | LOUISIANA | |
| 2 | R25189 | MEDICARE UPIN | LOUISIANA | |
