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Clyde P. Blalock

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NPI Number Detailed Information

Provider Information:

Name: Clyde P. Blalock
Gender: M
Provider License Number If Given: 21036

NPI Information:

NPI: 1396782488
Entity Type
(Individual or Organization):		 1-ind
Enumeration Date: 5/31/2006
Last Update Date: 1/9/2008

Provider Business Mailing Address:

Address: PO BOX 49009
Greenwood, SC 29649
Phone Number: 8642233070
Fax Number: 8642231396

Provider Business Practice Location Address:

Address: 955 RIBAUT RD
Beaufort, SC 29902
Phone Number: 8435225130
Fax Number: 8435225538

Provider Taxonomy:

Primary: 2085R0202X
Secondary (if any):
State: SC

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About Clyde P. Blalock

Clyde P. Blalock ( CLYDE P. BLALOCK ) is A Radiology Physician in Beaufort, SC. The NPI Number for Clyde P. Blalock is 1396782488.
The current location address for Clyde P. Blalock is 955 RIBAUT RD Beaufort, SC 29902 and the contact number is 8642233070 and fax number is 8642231396. The mailing address for Clyde P. Blalock is PO BOX 49009 Greenwood, SC 29649- 8435225130 (mailing address contact number - 8642233070).
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider Business Location on Map

FAQs:

What is the NPI Number for Clyde P. Blalock ?


Answer: The NPI Number for Clyde P. Blalock is 1396782488

Where is Clyde P. Blalock located?


Answer: Clyde P. Blalock is located at 955 RIBAUT RD Beaufort, SC 29902.

What is the specialty for Clyde P. Blalock ?


Answer: The Specialty of Clyde P. Blalock is A Radiology Physician.

Are there any online reviews for Clyde P. Blalock ?


Answer: Not yet!

Are there any other health care providers in Beaufort, SC?


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 Clyde P. Blalock

Number of HCPCS 194
Number of Medicare Beneficiaries 4708
Number of Services 8252
Total Submitted Charge Amount 1184471
Total Medicare Allowed Amount 244470.25
Total Medicare Payment Amount 200646.86
Total Medicare Standardized Payment Amount 199012.97
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 194
Number of Medicare Beneficiaries With Medical 4708
Number of Medical Services 8252
Total Medical Submitted Charge Amount 1184471
Total Medical Medicare Allowed Amount 244470.25
Total Medical Medicare Payment Amount 200646.86
Total Medical Medicare Standardized Payment Amount 199012.97
Average Age of Beneficiaries 74
Number of Beneficiaries Age Less 65 291
Number of Beneficiaries Age 65 to 74 2401
Number of Beneficiaries Age 75 to 84 1575
Number of Beneficiaries Age Greater 84 441
Number of Female Beneficiaries 3079
Number of Male Beneficiaries 1629
Number of Non-Hispanic White Beneficiaries 3808
Number of Black or African American Beneficiaries 682
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 63
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified 129
Number of Beneficiaries With Medicare & Medicaid Entitlement 265
Number of Beneficiaries With Medicare Only Entitlement 4443
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.11
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.13
Percent (%) of Beneficiaries Identified With Asthma 0.06
Percent (%) of Beneficiaries Identified With Cancer 0.15
Percent (%) of Beneficiaries Identified With Heart Failure 0.15
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.32
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.14
Percent (%) of Beneficiaries Identified With Depression 0.19
Percent (%) of Beneficiaries Identified With Diabetes 0.3
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.69
Percent (%) of Beneficiaries Identified With Hypertension 0.68
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.3
Percent (%) of Beneficiaries Identified With Osteoporosis 0.09
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.51
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.01
Percent (%) of Beneficiaries Identified With Stroke 0.06
Average HCC Risk Score of Beneficiaries 1.113

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 Diagnostic Radiology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 27
Number of Standardized 30-Day Fills 55
Aggregate Cost Paid for All Claims 239.64
Number of Day's Supply for All Claims 1538
Number of Medicare Beneficiaries
Number of Claims, Including Refills, for Beneficiaries Age 65+ 27
Including Refills, for Beneficiaries Age 65+ 55
Beneficiaries Age 65+ 239.64
Number of Day's Supply for All Claims for Beneficaries Age 65+ 1538
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 0
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 27
Aggregate Cost Paid for Generic Drugs 239.64
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 27
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 239.64
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 0
Aggregate Cost Paid for Claims Filled by 0
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst *
Number of Claims for Beneficiaries Covered by Low-Income Subsidy
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst #
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy
by Low-Income Subsidy
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms 0
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
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
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
Average Age of Beneficiaries 91.5
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category 0.7085

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NPI Number: 1699723262
Address: 989 RIBAUT RD SUITE 260 Beaufort, SC 29902 , Phone: 8435227600
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Clyde P. Blalock
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Address: 955 RIBAUT RD Beaufort, SC 29902 , Phone: 8435225130
William M. Jackson
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NPI Number: 1205873395
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Address: 80 LADYS ISLAND DR Beaufort, SC 29907 , Phone: 8439860046
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Mrs. Gail Temple
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Address: 601 WILMINGTON ST Beaufort, SC 29902 , Phone: 8435257615
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Brad D Keisling
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Mrs. Kate Coker Howell
Physical Therapy Assistant
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Address: 1076 RIBAUT RD Beaufort, SC 29902 , Phone: 8435211970
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