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Fred Blackledge, M.D.

NPI 1003890179ActiveIndividual· Plastic Surgery· Jackson, MS

Plastic Surgery (M.D.) in Jackson, Mississippi, licensed in MS, with an NPI issued in December 2005. Part D covered 243 prescriptions written in 2024, 100% of them generic. Revance Therapeutics, Inc. reported $39.91 in payments in 2025, mostly food and beverage.

Overview

NPI1003890179
StatusActive
Entity typeIndividual
CredentialM.D.
Sole proprietorNo
NPI issuedDec 2, 2005
Last updated in NPPESJul 13, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Plastic Surgery Primary208200000X16006MS

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)243 · 243 30-day fills
Patients79
Total drug cost$697.22
Generic share100% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$39.91 · 2 payments from 1 company
  • 2024$5,251 · 16 payments from 2 companies

Top paying companies in 2025

CompanyAmountPayments
Revance Therapeutics, Inc.$39.912

What the 2025 payments were for

  • Food and Beverage$39.91 · 2 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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