TUCKER S. BLACKLEDGE MD
NPI 1134651284
Pediatrics in Shreveport, LA
NPI Status: Active since March 29, 2017
Contact Information
1501 KINGS HWY
PEDIATRICS
SHREVEPORT, LA
ZIP 71103
Phone: (318) 626-2274
- Individual
- Male
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About TUCKER BLACKLEDGE
This page provides the complete NPI Profile along with additional information for Tucker Blackledge, a pediatrician established in Shreveport, Louisiana with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1134651284 assigned on March 2017. The practitioner's primary taxonomy code is 208000000X with license number E-13312 (AR). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1134651284
- Provider Name
- TUCKER S. BLACKLEDGE MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1501 KINGS HWY PEDIATRICS SHREVEPORT, LA 71103
- Location Phone
- (318) 626-2274
- Mailing Address
- 1 CHILDRENS WAY # 653 LITTLE ROCK, AR 72202
- Mailing Phone
- (501) 364-1100
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-29-2017
- Last Update Date
- 08-14-2023
- Code Navigator
A pediatrician like Tucker Blackledge is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 1 Childrens Way # 512-110
Little Rock, AR 72202
(501) 364-2270
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- E-13312
- License State
- AR
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2080P0207X | Allopathic & Osteopathic Physicians | Pediatrics | E-13312 (AR) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold (QualChoice) - POS
- Elite Gold (QualChoiceLife) - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Everyday Silver (QualChoiceLife) - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Standard Expanded Bronze - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Premier Silver - EPO
- Premier Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Standard Expanded Bronze - PPO
- Standard Expanded Bronze + Vision + Adult Dental - PPO
- Standard Gold - PPO
- Standard Gold + Vision + Adult Dental - PPO
- Standard Silver - PPO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- Bronze Exp Standardized - PPO
- Bronze Value - PPO
- Gold Standardized - PPO
- Silver AH - PPO
- Silver Standardized - PPO
- Silver Value - PPO
- Dental Gold - PPO
- Dental Gold Plus Vision - PPO
- Dental Pediatric - PPO
- Dental Platinum - PPO
- Dental Platinum Plus Vision - PPO
- Dental Platinum Premium - PPO
- Dental Platinum Premium Plus Vision - PPO
- Dental Silver - PPO
- HA Bronze Exp Standardized - POS
- HA Bronze Suitcase - POS
- HA Gold Standardized - POS
- HA Silver AH - POS
- HA Silver Premier Suitcase - POS
- HA Silver Standardized - POS
- Octave Bronze Exp Standardized - POS
- Octave Bronze Value - POS
- Octave Gold Standardized - POS
- Octave Silver AH - POS
- Octave Silver Classic Suitcase - POS
- Octave Silver Standardized - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Tucker Blackledge is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 71103 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.6
- Minimum New Patient Price $53.43
- Maximum New Patient Price $164.73
- Average New Patient Copayment $20.9
- Minimum New Patient Copayment $13.35
- Maximum New Patient Copayment $41.18
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.09
- Minimum Established Patient Price $16.64
- Maximum Established Patient Price $133.62
- Average Established Patient Copayment $23.77
- Minimum Established Patient Copayment $4.16
- Maximum Established Patient Copayment $33.4
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for TUCKER S. BLACKLEDGE MD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 3 | 4 | 6 | 5 | 1 | 2 | 8 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 12 | 5 | 2 | 2 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 1 + 2 + 5 + 2 + 2 + 1 + 6 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1134651284 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1760475651 | KIMBERLY E MEYER PA-C Individual | Physician Assistant | 1501 KINGS HWY DEPT. OF NEUROSURGERY SHREVEPORT, LA 71103 (318) 813-2921 |
| 1033192828 | MARY T KIM M.D. Individual | Surgery (Plastic and Reconstructive Surgery) | 1501 KINGS HWY SHREVEPORT, LA 71103 (318) 675-6154 |
| 1215913611 | DR. EZEKIEL J WETZEL M.D. Individual | Anesthesiology | 1501 KINGS HWY DEPARTMENT OF ANESTHESIA SHREVEPORT, LA 71103 (318) 675-5298 |
| 1689629909 | MR. AARON DEAN CHAUVIN PAC Individual | Physician Assistant | 1501 KINGS HWY SHREVEPORT, LA 71103 (318) 675-6885 |
| 1104860121 | LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER Organization | Surgery | 1501 KINGS HWY LSUHSC-S DEPARTMENT OF SURGERY SHREVEPORT, LA 71103 (318) 675-7737 |
| 1588690804 | DR. WENDALL A WILSON M.D. Individual | Internal Medicine | 1501 KINGS HWY DEPARTMENT OF INTERNAL MEDICINE, RHEUMATOLOGY SECTION SHREVEPORT, LA 71103 (318) 675-7737 |
| 1861422065 | MS. NANCY K BUSHNELL-HARPER MA, LPC Individual | Counselor | 1501 KINGS HWY LSUHSC-S DEPARMTENT OF PSYCHIATRY SHREVEPORT, LA 71103 (318) 675-7737 |
| 1417980533 | MICHAEL LORING MADDEN M.D. Individual | Family Medicine | 1501 KINGS HWY DEPARTMENT OF FAMILY MEDICINE SHREVEPORT, LA 71103 (318) 441-1061 |
| 1952334237 | LARRY JOHATHAN EMBREE JR. M.D. Individual | Psychiatry & Neurology (Neurology) | 1501 KINGS HWY DEPARTMENT OF NEUROLOGY SHREVEPORT, LA 71103 (318) 675-7737 |
| 1447283734 | ALIREZA MINAGAR M.D. Individual | Psychiatry & Neurology (Neurology) | 1501 KINGS HWY DEPARTMENT OF NEUROLOGY SHREVEPORT, LA 71103 (318) 675-7737 |
| 1871526160 | ROSARIO MARIA RIEL-ROMERO M.D. Individual | Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology) | 1501 KINGS HWY DEPARTMENT OF NEUROLOGY SHREVEPORT, LA 71103 (318) 813-2482 |
| 1992738215 | DR. LAUREN MOONAN YOREK M.D. Individual | Emergency Medicine | 1501 KINGS HWY DEPARTMENT OF EMERGENCY MEDICINE SHREVEPORT, LA 71103 (318) 675-7757 |
| 1972536068 | FREDERICK DEAN HEARD M.D. Individual | Family Medicine | 1501 KINGS HWY DEPARTMENT OF FAMILY MEDICINE SHREVEPORT, LA 71103 (318) 675-8032 |
| 1639102759 | EDWARD HOPKINS LEATHERMAN M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1501 KINGS HWY DEPARTMENT OF PSYCHIATRY SHREVEPORT, LA 71103 (318) 675-7737 |
| 1477587301 | DEEPTI SHUKLA MBBS Individual | Pathology (Anatomic Pathology) | 1501 KINGS HWY DEPARTMENT OF PATHOLOGY SHREVEPORT, LA 71103 (318) 675-7737 |
| 1750315693 | PATRICK A ADEGBOYEGA M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1501 KINGS HWY DEPARTMENT OF PATHOLOGY SHREVEPORT, LA 71103 (318) 675-7737 |
| 1164455168 | RONALD GILBERT NIERMAN LPC Individual | Counselor (Professional) | 1501 KINGS HWY DEPARTMENT OF PSYCHIATRY SHREVEPORT, LA 71103 (318) 813-2445 |
| 1407881550 | DR. OLUGBENGA A AKINGBOLA M.D. Individual | Pediatrics | 1501 KINGS HWY DEPARTMENT OF PEDIATRICS SHREVEPORT, LA 71103 (318) 675-7737 |
| 1316971658 | CHERIE-ANN OLYMPIA NATHAN MBBS Individual | Otolaryngology | 1501 KINGS HWY DEPARTMENT OF OTOLARYNGOLOGY SHREVEPORT, LA 71103 (318) 813-2690 |
| 1508890856 | FREDERICK J STUCKER JR. M.D. Individual | Otolaryngology | 1501 KINGS HWY DEPARTMENT OF OTOLARYNGOLOGY SHREVEPORT, LA 71103 (318) 813-2690 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134651284, enumerated in the NPI registry as an "individual" on March 29, 2017
The provider is located at 1501 Kings Hwy Pediatrics Shreveport, La 71103 and the phone number is (318) 626-2274
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $83.6 with an average copayment of $20.9 for new patient appointments. Established patients should expect a typical charge of $95.09 and an average copayment of 23.77. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on March 29, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.