JONATHAN LEE BLALOCK MD
NPI 1164117768
Neurological Surgery in Madison, WI
NPI Status: Active since April 10, 2023
Contact Information
UW HOSPITAL & CLINICS
600 HIGHLAND AVE
MADISON, WI
ZIP 53792
Phone: (608) 236-6400
- Individual
- Male
- Neurological Surgery
- PECOS Enrolled
About JONATHAN BLALOCK
This page provides the complete NPI Profile along with additional information for Jonathan Blalock, a provider established in Madison, Wisconsin with a medical specialization in Neurological Surgery. The healthcare provider is registered in the NPI registry with number 1164117768 assigned on April 2023. The practitioner's primary taxonomy code is 207T00000X with license number 100173851 (WI). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1164117768
- Provider Name
- JONATHAN LEE BLALOCK MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- UW HOSPITAL & CLINICS 600 HIGHLAND AVE MADISON, WI 53792
- Location Phone
- (608) 236-6400
- Mailing Address
- UW HOSPITAL & CLINICS 600 HIGHLAND AVE MADISON, WI 53792
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-10-2023
- Last Update Date
- 08-03-2023
- Code Navigator
Location Map
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
Neurological Surgery
- Taxonomy Code
- 207T00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 100173851
- License State
- WI
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
Jonathan Blalock 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 53792 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $123.69
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $30.92
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.37
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $16.84
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* 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.
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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 | 6 | 4 | 1 | 1 | 7 | 7 | 6 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 2 | 1 | 14 | 7 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 2 + 1 + 1 + 4 + 7 + 1 + 2 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1164117768 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1861712549 | DR. PAUL SAMUEL WEISMAN M.D. Individual | Pathology (Clinical Pathology/Laboratory Medicine) | UW HOSPITAL & CLINICS DEPARTMENT OF PATHOLOGY E5/322 3224 MADISON, WI 53792 (608) 263-8443 |
| 1548861651 | SHIKHA JHA MD Individual | Internal Medicine (Cardiovascular Disease) | UW HOSPITAL & CLINICS 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-1300 |
| 1134860380 | JEREMY REECE WILLIAMS MD Individual | Internal Medicine | UW HOSPITAL & CLINICS 600 HIGHLAND AVENUE MADISON, WI 53792 (608) 263-6400 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164117768, enumerated in the NPI registry as an "individual" on April 10, 2023
The provider is located at Uw Hospital & Clinics 600 Highland Ave Madison, Wi 53792 and the phone number is (608) 236-6400
The provider's speciality is Neurological Surgery with taxonomy code 207T00000X
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 $123.69 with an average copayment of $30.92 for new patient appointments. Established patients should expect a typical charge of $67.37 and an average copayment of 16.84. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on April 10, 2023. 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].
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