DOUGLAS P BLACKALL (MD) – Clinical Pathology Physician, NPI 1891885380
Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
181 PATHOLOGY in AR
Provider Addresses for DOUGLAS P BLACKALL (MD)
800 Marshall St # 653
Little Rock, AR 722023510
Phone: (501) 364-1100
Type: Location
PO BOX 3395
PORTLAND, OR 972083395
Phone: (503) 215-6023
Type: Mailing
4805 NE GLISAN ST
PORTLAND, OR 972132933
Phone: (503) 215-6096
Type: Location
653, Marshall Street, Little Rock, Pulaski County, Arkansas, 72201, United States
LITTLE ROCK, AR 722023510
Phone: (501) 364-1100
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-01-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210114001726 | I | Pathology | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 84165 | Protein measurement, serum | 784 | 606 | $0 |
| 86334 | Immunologic analysis technique on serum (immunofixation) | 170 | 164 | $0 |
| 84166 | Protein measurement, body fluid | 120 | 116 | $0 |
| 86077 | Blood bank physician services for cross match and/or evaluation and written report | 102 | 90 | $0 |
| 85060 | Blood smear interpretation by physician with written report | 49 | 48 | $0 |
Insurance plans in this area (ZIP 72202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | OR | |
| Internal Medicine | OR | |
| Nurse Practitioner | OR | |
| Hematology, Medical Oncology | WI | |
| P A T H O L O G Y | OR | |
| Nurse Practitioner | OR | |
| Internal Medicine | OR | |
| - | OR | |
| P A T H O L O G Y | PA | |
| P A T H O L O G Y | OR |
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