Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124053392 Individual Practitioner Male Practitioner

Dr. Jerry Blacklock , MD

Neurological Surgery • Houston, TX

Professional Overview & Biography Verified Profile Summary

Dr. Jerry Blacklock, MD is a registered healthcare professional specializing in Neurological Surgery in Houston, TX. Practice services are available at 6560 FANNIN ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, partial removal of middle spine bone with release of spinal cord and/or nerves. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6560 Fannin St
Suite 900

Houston, TX 770302761

Telephone 7134413800
Associated Practice Facility / Clinic
🏢 Cardioscan, Inc. Facility NPI 1760483630

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Houston, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.4 Yrs
State Avg: 25.0 Yrs
Regional Practice Density
177 Specialists

Practicing in Houston, TX (703 Statewide)

Telehealth Adoption Rate
31.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
80.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
60 55 $128.00 $44.71
99202 New patient office or other outpatient visit, typically 20 minutes
39 39 $219.00 $76.41
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves
21 21 $5521.00 $1003.39
63048 Partial removal of spine bone with release of spinal cord and/or nerves
15 11 $1072.00 $219.73
99213 Established patient office or other outpatient visit, typically 15 minutes
13 12 $212.00 $74.03

Medical Specialties & State Licenses

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License TX G9066

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs
8GD848 (TX)
Commercial Insurance / Payer ID Railroad Medicare
P00216844 (TX)
Commercial Insurance / Payer ID Blue Cross Blue Shield
8EA863 (TX)
Commercial Insurance / Payer ID Rr Medicare
P01331480 (TX)
Commercial Insurance / Payer ID Blue Cross Blue Shield
8R9781 (TX)

Practice Associates & Co-Workers

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

36 Associated Practitioners
Dr. Jaims Lim , MD

Neurological Surgery

NPI 1023515665

Doctor of Medicine (M.D.)

Dr. Sylvia Gonzalez , MD

Psychiatry & Neurology - Psychiatry

NPI 1114115078

Doctor of Medicine (M.D.)

Shalin Shah

Student in an Organized Health Care Education/Training Program

NPI 1144024092
Dr. Dorian Mambelli , MD

Student in an Organized Health Care Education/Training Program

NPI 1164087425

Doctor of Medicine (M.D.)

Dr. Rob Parrish , MD

Neurological Surgery

NPI 1194743773

Doctor of Medicine (M.D.)

Olivia Kim , AGACNP

Nurse Practitioner - Acute Care

NPI 1225586720

Adult-Gerontology Acute Care Nurse Practitioner

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active January 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2017

Registered at 6560 FANNIN ST, SUITE 900, HOUSTON, TX 770302761 (Tel: 7134413800)

📍
Updated Business Mailing Address January 24, 2017

Registered at 6560 FANNIN ST, SUITE 900, HOUSTON, TX 770302761 (Tel: 7134413800)

👤
Provider Name / Credentials Updated January 24, 2017

Recorded as JERRY BLACKLOCK, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2017

Neurological Surgery (License #G9066 in TX)

NPI Profile Active August 21, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 21, 2014

Registered at 6560 FANNIN ST, SCURLOCK TOWER, SUITE 900, HOUSTON, TX 770302761 (Tel: 7134413800)

📍
Updated Business Mailing Address August 21, 2014

Registered at 6560 FANNIN ST, SCURLOCK TOWER, SUITE 900, HOUSTON, TX 770302761 (Tel: 7134413800)

👤
Provider Name / Credentials Updated August 21, 2014

Recorded as JERRY BLACKLOCK, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2014

Neurological Surgery (License #G9066 in TX)

🟢
Initial NPI Registration & Enumeration July 12, 2006

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: 1124053392
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2006
Last Update: January 24, 2017
Sole Proprietor: No

Mailing Address

6560 Fannin St, Suite 900

Houston, TX 770302761

Phone: 7134413800

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.