Active NPI 1952388100 Individual Practitioner Male Practitioner

Dr. Edgar R Blecker , MD

Internal Medicine • Sebastian, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Edgar Blecker, MD is a certified Internal Medicine practicing in Sebastian, FL. With approximately 42 years of clinical experience since completing medical education in 1984, Dr. Blecker delivers high-quality medical care to the local community at 13090 US HIGHWAY 1.

Dr. Blecker maintains professional affiliations with Access Health Care Physicians Llc, Edgar R Blecker M.D. Pa and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, annual depression screening, 5 to. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

13090 Us Highway 1

Sebastian, FL 329583733

Telephone 7725893755

Fax 7725892315

Associated Practice Facility / Clinic

🏢 Sebastian Health Center, P.a. Facility NPI 1992836704

Medicare Profile & Education

Medical School

Other

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Sebastian, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +11.5 yrs vs City Avg

City Avg: 30.5 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

19 Specialists

Practicing in Sebastian, FL (10650 Statewide)

Telehealth Adoption Rate

42.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

31.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blecker (42 Years) 42 Yrs

Sebastian Specialty Average (30.5 Years) 30.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	307	162	$169.48	$128.02
99213 Established patient office or other outpatient visit, typically 15 minutes	93	44	$112.31	$88.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	85	85	$249.81	$128.73
G0444 Annual depression screening, 5 to 15 minutes	84	84	$27.60	$18.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$252.83	$166.24
36415 Insertion of needle into vein for collection of blood sample	35	18	$18.00	$8.65
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	26	19	$30.31	$15.90
99443 Telephone medical discussion with physician, 21-30 minutes	21	17	$135.00	$124.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	298	140	$169.38	$129.48
99213 Established patient office or other outpatient visit, typically 15 minutes	85	45	$114.87	$90.08
G0444 Annual depression screening, 5 to 15 minutes	66	66	$27.60	$18.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	65	65	$175.98	$129.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$263.00	$169.59
36415 Insertion of needle into vein for collection of blood sample	18	15	$18.00	$8.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	284	141	$161.62	$132.20
99213 Established patient office or other outpatient visit, typically 15 minutes	86	43	$110.40	$91.55
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	79	79	$175.87	$133.85
G0444 Annual depression screening, 5 to 15 minutes	78	78	$27.60	$18.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$250.80	$172.44
99443 Telephone medical discussion with physician, 21-30 minutes	18	15	$112.22	$111.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	304	150	$136.83	$134.66
G0444 Annual depression screening, 5 to 15 minutes	120	120	$23.00	$19.16
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	119	119	$172.72	$137.84
99213 Established patient office or other outpatient visit, typically 15 minutes	90	47	$92.00	$92.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$209.00	$175.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	378	182	$137.22	$113.72
99213 Established patient office or other outpatient visit, typically 15 minutes	168	77	$92.00	$78.22
G0444 Annual depression screening, 5 to 15 minutes	116	116	$23.00	$18.83
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	113	63	$25.00	$23.19
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	112	112	$166.36	$120.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$209.00	$171.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	390	185	$136.85	$111.36
99213 Established patient office or other outpatient visit, typically 15 minutes	207	100	$92.00	$76.07
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	187	91	$25.00	$23.02
G0444 Annual depression screening, 5 to 15 minutes	119	119	$23.00	$18.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	115	115	$170.58	$118.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$209.00	$170.34
36415 Insertion of needle into vein for collection of blood sample	25	24	$4.15	$2.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	341	167	$135.31	$111.16
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	205	91	$25.13	$22.04
36415 Insertion of needle into vein for collection of blood sample	160	80	$4.15	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	134	80	$91.45	$75.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	100	100	$151.08	$120.15
G0444 Annual depression screening, 5 to 15 minutes	96	96	$23.00	$18.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$209.59	$171.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	336	173	$137.02	$106.97
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	208	93	$25.77	$19.92
36415 Insertion of needle into vein for collection of blood sample	126	76	$4.15	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	99	68	$95.74	$72.83
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	76	76	$144.55	$114.13
G0444 Annual depression screening, 5 to 15 minutes	51	51	$23.00	$17.63
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	26	26	$214.30	$168.91
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	23	11	$33.16	$25.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$211.63	$165.46

Medical Specialties & State Licenses

CMS Verified: 2023-10-26

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME78368

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bc&bs Provider #

35392 (FL)

Hospital & Practice Group Affiliations

Access Health Care Physicians Llc

5350 Spring Hill Dr, Spring Hill, FL 346064562

Phone: 3526911077

Edgar R Blecker M.d. Pa

229 Sebastian Blvd, Sebastian, FL 329584616

Phone: 7725810016

Secondary Practice Locations

229 Sebastian Blvd

Sebastian, FL 329584616

Phone: 7725810016

7901 Ron Beatty Blvd

Barefoot Bay, FL 329767450

Phone: 7726648171

1421 S Babcock St

Melbourne, FL 329013024

Phone: 3214482890

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Pamelia Guilford , ARNP-C

Nurse Practitioner - Family

NPI 1154502102

ARNPC

Demytra Wolf , PA

Physician Assistant

NPI 1427591809

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location October 26, 2023

Registered at 13090 US HIGHWAY 1, SEBASTIAN, FL 329583733 (Tel: 7725893755)

📍

Updated Business Mailing Address October 26, 2023

Registered at 5400 PINEHURST DR, SPRING HILL, FL 346063833 (Tel: 3522775348)

📍

Updated Business Mailing Address March 16, 2022

Registered at 14690 SPRING HILL DR STE 305, SPRING HILL, FL 346098102 (Tel: 3522775348)

✅

NPI Profile Active March 01, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location March 01, 2012

Registered at 229 SEBASTIAN BLVD, SEBASTIAN, FL 329584616 (Tel: 7725810016)

📍

Updated Business Mailing Address March 01, 2012

Registered at 229 SEBASTIAN BLVD, SEBASTIAN, FL 329584616 (Tel: 7725810016)

👤

Provider Name / Credentials Updated March 01, 2012

Recorded as EDGAR BLECKER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2012

Internal Medicine (License #ME78368 in FL)

🟢

Initial NPI Registration & Enumeration December 29, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952388100

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 29, 2005

Last Update: October 26, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

5400 Pinehurst Dr

Spring Hill, FL 346063833

Phone: 3522775348

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.