BLAKELY ANN PLASTER (PA-C) – Physician Assistant, NPI 1194055327
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,093 PHYSICIAN ASSISTANT in MA
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Provider Addresses for BLAKELY ANN PLASTER (PA-C)
Cambridge Hospital, 1493, Cambridge Street, Inman Square, Cambridge, Middlesex County, Massachusetts, 02139, United States
CAMBRIDGE, MA 021391047
Phone: (617) 665-1000
Type: Mailing
235, Cypress Street, Brookline Village Commercial District, Brookline, Norfolk County, Massachusetts, 02445-7638, United States
BROOKLINE, MA 024456776
Phone: (617) 383-6250
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $1,560.
Total Amount is formed as General ($1,560) + Research ($0) + Ownership ($0) = $1,560.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: ABBVIE INC. ($1,353).
Total Amount
$1,560
General + Research + Ownership
Payments
23
Total payment records
General Amount
$1,560
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,353 |
| Becton, Dickinson and Company | $128 |
| Mentor Worldwide LLC | $31 |
| TELA Bio, Inc. | $26 |
| Pacira Pharmaceuticals Incorporated | $24 |
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: 2010-11-16
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 |
|---|---|---|---|---|
| I20101116000277 | I | Physician Assistant | MA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02139)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Plastic And Reconstructive Surgery | MA | |
| Physician Assistant | CT | |
| Plastic And Reconstructive Surgery | MA | |
| Plastic And Reconstructive Surgery, Hand Surgery | MA | |
| Plastic And Reconstructive Surgery, General Surgery | MA |
Reviews
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