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Active NPI 1548824873 Individual Practitioner Male Practitioner

Dr. Cody Blackwelder , MD

Surgery • Ruston, LA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Cody Blackwelder, MD is a certified Surgery practicing in Ruston, LA. With approximately 7 years of clinical experience since graduating from Louisiana State University School Of Medicine In New Orleans in 2019, Dr. Blackwelder delivers high-quality medical care to the local community at 1200 S FARMERVILLE ST.

Dr. Blackwelder is affiliated with Green Clinic Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1200 S Farmerville St

Ruston, LA 712705941

Telephone 3182553690
Associated Practice Facility / Clinic
🏢 Green Clinic Llc Facility NPI 1831178755

Medicare Profile & Education

Medical School

Louisiana State University School Of Medicine In New Orleans

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Ruston, LA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -12.0 yrs vs City Avg
City Avg: 19.0 Yrs
State Avg: 27.9 Yrs
Regional Practice Density
4 Specialists

Practicing in Ruston, LA (474 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
41.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blackwelder (7 Years) 7 Yrs
Ruston Specialty Average (19.0 Years) 19.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
20 20 $248.00 $155.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
17 16 $214.00 $115.63

Medical Specialties & State Licenses

CMS Verified: 2024-10-10
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License LA 341995

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Green Clinic Llc

1200 S Farmerville St, Ruston, LA 712705941

Phone: 3182553690

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Paul Novakovich , MD

Orthopaedic Surgery

NPI 1023227683

Doctor of Medicine (M.D.)

Mary Cantrell , NP

Nurse Practitioner - Family

NPI 1063908135

Nurse Practitioner

Dr. Richard Ballard , MD

Orthopaedic Surgery

NPI 1073583613

Doctor of Medicine (M.D.)

Erin Lancaster , FNP-C

Nurse Practitioner - Family

NPI 1104399393

Family Nurse Practitioner (Certified)

Dr. Robert Harper , MD

Obstetrics & Gynecology

NPI 1154391605

Doctor of Medicine (M.D.)

Dr. George Smith , MD

Internal Medicine - Cardiovascular Disease

NPI 1164492484

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2024

Surgery (License #341995 in LA)

📍
Updated Practice Location June 24, 2024

Registered at 1200 S FARMERVILLE ST, RUSTON, LA 712705941 (Tel: 3182553690)

📍
Updated Business Mailing Address June 24, 2024

Registered at 1200 S FARMERVILLE ST, RUSTON, LA 712705941 (Tel: 3182553690)

NPI Profile Active April 22, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 22, 2019

Registered at 920 MADISON AVE STE 447, MEMPHIS, TN 381033438 (Tel: 9014487635)

📍
Updated Business Mailing Address April 22, 2019

Registered at 920 MADISON AVE STE 447, MEMPHIS, TN 381033438 (Tel: 9014487635)

👤
Provider Name / Credentials Updated April 22, 2019

Recorded as CODY BLACKWELDER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 22, 2019

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: 1548824873
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 22, 2019
Last Update: October 10, 2024
Sole Proprietor: No

Mailing Address

1200 S Farmerville St

Ruston, LA 712705941

Phone: 3182553690

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.