Active NPI 1912087347 Individual Practitioner Female Practitioner

Dr. Darlene Blanchard , MD

Surgery • Fredericksburg, VA

Professional Overview & Biography Verified Profile Summary

Dr. Darlene Blanchard, MD is a registered healthcare professional specializing in Surgery in Fredericksburg, VA. Practice services are available at 4548 EMPIRE CT under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of surgical specimen, partial removal of breast. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4548 Empire Ct

Fredericksburg, VA 224081939

Telephone 5403732244

Fax 5403714849

Associated Practice Facility / Clinic

🏢 Surgical Associates Of Fredericksburg, Ltd. Facility NPI 1982799144

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fredericksburg, VA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 17.6 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

16 Specialists

Practicing in Fredericksburg, VA (909 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.0% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	714	609	$155.00	$87.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	84	$230.00	$123.14
76098 X-ray of surgical specimen	53	53	$95.00	$14.27
19301 Partial removal of breast	51	46	$1505.00	$627.52
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	48	48	$1016.00	$224.56
38900 Lymph node imaging during surgery	45	45	$319.00	$128.40
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	33	33	$475.00	$212.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$231.00	$102.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	23	$321.00	$174.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$366.00	$161.20
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$228.00	$16.92
19303 Total removal of breast	13	13	$2740.92	$1027.27
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$2650.00	$305.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	615	530	$155.00	$88.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	94	$230.00	$125.17
19301 Partial removal of breast	82	65	$1505.00	$639.20
76098 X-ray of surgical specimen	68	68	$84.10	$14.85
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	55	55	$1016.00	$232.57
38900 Lymph node imaging during surgery	53	53	$319.00	$131.69
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	52	52	$475.00	$211.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$231.00	$107.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$366.00	$162.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	17	$321.00	$175.45
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	17	17	$217.12	$17.41
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	17	17	$2650.00	$311.21
36590 Removal of peripheral venous catheter for infusion	14	14	$514.00	$218.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	670	578	$155.00	$89.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	104	$230.00	$126.22
76098 X-ray of surgical specimen	73	72	$38.00	$15.18
19301 Partial removal of breast	72	62	$1505.00	$649.70
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	60	59	$1016.00	$235.28
38900 Lymph node imaging during surgery	58	58	$319.00	$132.99
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	54	54	$475.00	$213.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$231.00	$112.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	19	$321.00	$180.25
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	18	18	$43.00	$18.32
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	18	18	$2650.00	$322.82
19303 Total removal of breast	15	15	$2235.73	$963.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$366.00	$166.63
19125 Removal of breast growth, open procedure	14	14	$1264.00	$403.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	549	478	$155.00	$91.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	182	164	$230.00	$129.00
76098 X-ray of surgical specimen	90	84	$38.00	$15.29
19301 Partial removal of breast	77	65	$1524.55	$665.26
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	68	67	$1030.94	$230.57
38900 Lymph node imaging during surgery	68	67	$323.69	$139.38
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	57	57	$475.00	$216.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$231.00	$112.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	22	$327.70	$175.52
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	22	22	$43.00	$18.68
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	22	22	$2650.00	$329.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$366.00	$168.75
19303 Total removal of breast	19	19	$2316.63	$975.47
19125 Removal of breast growth, open procedure	19	19	$1264.00	$468.50
36590 Removal of peripheral venous catheter for infusion	15	15	$514.00	$217.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	533	478	$155.00	$74.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	183	172	$230.00	$109.15
76098 X-ray of surgical specimen	84	82	$37.69	$15.89
19301 Partial removal of breast	73	59	$1505.00	$658.40
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	52	52	$416.15	$205.08
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	51	51	$1016.00	$227.41
38900 Lymph node imaging during surgery	51	51	$359.39	$138.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$231.00	$107.88
19125 Removal of breast growth, open procedure	24	24	$1270.13	$452.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	22	$321.00	$132.30
19303 Total removal of breast	22	22	$2096.00	$938.10
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$164.00	$76.52
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	19	19	$43.00	$18.88
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	19	19	$2650.00	$314.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$366.00	$164.58
36590 Removal of peripheral venous catheter for infusion	17	17	$514.00	$227.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	11	$97.00	$45.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	811	709	$186.20	$73.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	342	307	$272.79	$106.30
76098 X-ray of surgical specimen	108	108	$93.79	$8.16
19301 Partial removal of breast	105	89	$1685.03	$671.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	103	103	$271.54	$107.81
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	74	73	$1118.81	$237.45
38900 Lymph node imaging during surgery	71	70	$353.89	$143.40
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	47	47	$518.82	$201.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$412.75	$163.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	26	$112.99	$44.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	27	$365.56	$141.04
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	24	23	$222.35	$18.76
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	24	23	$2953.10	$289.56
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$185.88	$75.99
19125 Removal of breast growth, open procedure	21	21	$1404.38	$453.64
36590 Removal of peripheral venous catheter for infusion	17	17	$737.90	$223.37
19303 Total removal of breast	16	16	$2534.75	$954.80
76998 Ultrasonic guidance during surgery	14	14	$246.90	$59.15
11104 Punch biopsy, first skin growth	12	12	$312.97	$124.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	834	703	$180.78	$72.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	275	243	$268.43	$106.06
76098 X-ray of surgical specimen	111	110	$103.33	$7.96
19301 Partial removal of breast	96	87	$1636.63	$637.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$269.35	$105.99
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	75	75	$1099.00	$225.74
38900 Lymph node imaging during surgery	70	70	$347.88	$139.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$410.30	$160.38
99202 New patient office or other outpatient visit, typically 20 minutes	44	44	$185.88	$74.35
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	33	33	$174.13	$18.63
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	33	33	$2953.10	$326.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	29	$108.78	$43.03
19125 Removal of breast growth, open procedure	31	31	$1367.75	$417.23
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	29	29	$515.53	$205.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	22	$362.10	$143.83
76642 Limited ultrasound scan of 1 breast	19	18	$222.73	$87.95
19303 Total removal of breast	18	18	$2534.75	$989.51
36590 Removal of peripheral venous catheter for infusion	15	15	$737.90	$221.11
76998 Ultrasonic guidance during surgery	11	11	$161.48	$63.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	653	555	$180.78	$71.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	304	282	$268.43	$105.27
19301 Partial removal of breast	109	94	$1651.64	$649.33
76098 X-ray of surgical specimen	89	87	$103.33	$8.04
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	86	86	$1099.00	$229.18
38900 Lymph node imaging during surgery	86	86	$347.88	$138.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$269.35	$103.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$410.30	$159.64
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	40	40	$2953.10	$327.16
19125 Removal of breast growth, open procedure	39	39	$1367.75	$276.78
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	38	38	$174.13	$18.88
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$515.53	$199.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	27	$362.10	$137.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	21	$108.78	$42.90
19303 Total removal of breast	22	21	$2534.75	$1043.99
76642 Limited ultrasound scan of 1 breast	19	17	$222.73	$87.25
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$185.88	$73.74
36590 Removal of peripheral venous catheter for infusion	12	12	$737.90	$220.41
19285 Placement of locating device in breast using ultrasound guidance, first growth	12	12	$1287.00	$43.75

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VA 0101242194

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.

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dr. Bradford King , MD

Surgery

NPI 1346294378

Doctor of Medicine (M.D.)

Dr. Victor D'addio , MD

Surgery - Vascular Surgery

NPI 1427002948

Doctor of Medicine (M.D.)

Dr. Richard Earnhardt , MD

Surgery

NPI 1437103462

Doctor of Medicine (M.D.)

Dr. Bradley Ryan , MD

Surgery

NPI 1467475053

Doctor of Medicine (M.D.)

Tiffany Simons , NP

Nurse Practitioner - Adult Health

NPI 1578653697

Nurse Practitioner

Meredith Whittaker

Surgery

NPI 1609366178

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 05, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location January 05, 2011

Registered at 4548 EMPIRE CT, FREDERICKSBURG, VA 224081939 (Tel: 5403732244)

📍

Updated Business Mailing Address January 05, 2011

Registered at 4548 EMPIRE CT, FREDERICKSBURG, VA 224081939 (Tel: 5403732244)

👤

Provider Name / Credentials Updated January 05, 2011

Recorded as DARLENE BLANCHARD, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2011

Surgery (License #0101242194 in VA)

🟢

Initial NPI Registration & Enumeration October 17, 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: 1912087347

Entity Type:

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

Enumeration Date: October 17, 2006

Last Update: January 05, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4548 Empire Ct

Fredericksburg, VA 224081939

Phone: 5403732244

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.