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Dr. Travis Wayne Blalock

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NPI Number Detailed Information

Provider Information:

Name: Dr. Travis Wayne Blalock
Gender: M
Provider License Number If Given: 73100

NPI Information:

NPI: 1710195003
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/18/2007

Last Update Date: 2/12/2021

Reputation Report:

Provider Business Mailing Address:

Address: 1525 CLIFTON RD NE STE 112A
Atlanta, GA 30322
Phone Number: 4047783333
Fax Number:

Provider Business Practice Location Address:

Address: 619 NE 13TH ST
Oklahoma City, OK 73104
Phone Number: 4052716110
Fax Number:

Provider Taxonomy:

Primary: 207ND0101X
Secondary (if any): 207NS0135X
State: OK

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About Dr. Travis Wayne Blalock

Dr. Travis Wayne Blalock (DR. TRAVIS WAYNE BLALOCK ) is The Dermatology Physician in Oklahoma City, OK. The NPI Number for Dr. Travis Wayne Blalock is 1710195003.
The current location address for Dr. Travis Wayne Blalock is 619 NE 13TH ST Oklahoma City, OK 73104 and the contact number is 4047783333 and fax number is . The mailing address for Dr. Travis Wayne Blalock is 1525 CLIFTON RD NE STE 112A Atlanta, GA 30322- 4052716110 (mailing address contact number - 4047783333).
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Travis Wayne Blalock ?


Answer: The NPI Number for Dr. Travis Wayne Blalock is 1710195003

Where is Dr. Travis Wayne Blalock located?


Answer: Dr. Travis Wayne Blalock is located at 619 NE 13TH ST Oklahoma City, OK 73104.

What is the specialty for Dr. Travis Wayne Blalock ?


Answer: The Specialty of Dr. Travis Wayne Blalock is The Dermatology Physician.

Are there any online reviews for Dr. Travis Wayne Blalock ?


Answer: Yes! Check It Now.

Are there any other health care providers in Oklahoma City, OK?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Travis Wayne Blalock

Number of HCPCS 113
Number of Medicare Beneficiaries 406
Number of Services 1479
Total Submitted Charge Amount 1979423
Total Medicare Allowed Amount 473344.5
Total Medicare Payment Amount 371848.52
Total Medicare Standardized Payment Amount 367054.19
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 4
Number of Medicare Beneficiaries With Drug Services 21
Number of Drug Services 33
Total Drug Submitted Charge Amount 28046
Total Drug Medicare Allowed Amount 10121.71
Total Drug Medicare Payment Amount 8096.24
Total Drug Medicare Standardized Payment Amount 7935.56
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 109
Number of Medicare Beneficiaries With Medical 406
Number of Medical Services 1446
Total Medical Submitted Charge Amount 1951377
Total Medical Medicare Allowed Amount 463222.79
Total Medical Medicare Payment Amount 363752.28
Total Medical Medicare Standardized Payment Amount 359118.63
Average Age of Beneficiaries 75
Number of Beneficiaries Age Less 65 36
Number of Beneficiaries Age 65 to 74 160
Number of Beneficiaries Age 75 to 84 146
Number of Beneficiaries Age Greater 84 64
Number of Female Beneficiaries 165
Number of Male Beneficiaries 241
Number of Non-Hispanic White Beneficiaries 357
Number of Black or African American Beneficiaries 25
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 35
Number of Beneficiaries With Medicare Only Entitlement 371
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.1
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.09
Percent (%) of Beneficiaries Identified With Asthma 0.03
Percent (%) of Beneficiaries Identified With Cancer 0.13
Percent (%) of Beneficiaries Identified With Heart Failure 0.15
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.29
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.09
Percent (%) of Beneficiaries Identified With Depression 0.19
Percent (%) of Beneficiaries Identified With Diabetes 0.26
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.5
Percent (%) of Beneficiaries Identified With Hypertension 0.59
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.32
Percent (%) of Beneficiaries Identified With Osteoporosis 0.1
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.36
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.03
Average HCC Risk Score of Beneficiaries 1.3043

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Dermatology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 333
Number of Standardized 30-Day Fills 351.36666667
Aggregate Cost Paid for All Claims 104620.24
Number of Day's Supply for All Claims 5317
Number of Medicare Beneficiaries 182
Number of Claims, Including Refills, for Beneficiaries Age 65+ 270
Including Refills, for Beneficiaries Age 65+ 284.36666667
Beneficiaries Age 65+ 25377.96
Number of Day's Supply for All Claims for Beneficaries Age 65+ 4283
Number of Medicare Beneficiaries Age 65+ 154
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 22
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 311
Aggregate Cost Paid for Generic Drugs 7636.7
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 161
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 98989.3
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 172
Aggregate Cost Paid for Claims Filled by 5630.94
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 73
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 21376.69
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 260
by Low-Income Subsidy 83243.55
Total Claims of Opioid Drugs, Including 55
Aggregate Cost Paid for Opioid Drugs 255.6
Opioid Claims 42
Opioid_Tot_Clms divided by the Tot_Clms 16.516516517
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the 0
Total Claims of Antibiotic Drugs, Including 162
Aggregate Cost Paid for Antibiotic Drugs 3349.44
Antibiotic Claims 125
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 72.620879121
Number of Beneficiaries Age Less Than 65 28
Number of Beneficiaries Age 65 to 74 70
Number of Beneficiaries Age 75 to 84 67
Number of Female Beneficiaries 79
Number of Male Beneficiaries 103
Number of Non-Hispanic White 152
Number of Black or African American 22
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 152
Average Hierarchical Condition Category 1.4578242919

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