DR. DEBORAH L BLACKER (MD SCD) – Geriatric Psychiatry Physician, NPI 1205800521

DR. DEBORAH L BLACKER (MD SCD) is a healthcare provider. based in Charlestown, Massachusetts. specializing in Geriatric Psychiatry Physician. They hold the professional credentials MD SCD. They hold a License No. 55900 (MA). The NPI Number for DR. DEBORAH L BLACKER (MD SCD) is 1205800521

Main info

Female
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEBORAH L BLACKER (MD SCD)
NPI
1205800521
Phone
(617) 724-0287
Address
PO BOX 9142
Enumeration Date
14 February 2006
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
6177240287
Graduation Year
1984 (42 years ago)
PAC ID
9335185990
Group Practice PAC ID
2466365820
Professional Enrollment ID
I20050705000828
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. DEBORAH L BLACKER (MD SCD)

  • Charlestown Post Office (mobile), Pattern Close, St Austell Bay, Charlestown, Cornwall, England, PL25 3FQ, United Kingdom

    MASS GENERAL PHYSICIAN ORGANIZATION

    CHARLESTOWN, MA 021299142

    Phone: (617) 724-0287

    Fax: (617) 726-2894

    Type: Mailing

  • 55 FRUIT ST 149 2691

    MASSACHUSETTS GENERAL HOSPITAL

    BOSTON, MA 02114

    Phone: (617) 726-5571

    Fax: (617) 726-5760

    Type: Location

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: 2005-07-05

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050705000828IGeriatric PsychiatryMATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes2017$0
View full utilization report →

Insurance plans in this area (ZIP 02129)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466365820View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMA
Diagnostic RadiologyMA
Nephrology, Internal MedicineMA
Nurse PractitionerMA
P A T H O L O G YNY
P A T H O L O G YMA
P S Y C H I A T R YMA
Cardiac Electrophysiology, Internal Medicine, Cardiovascular Disease (Cardiology)MA
H E M A T O L O G Y/ O N C O L O G YMA
N E U R O L O G YMA

Reviews

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Frequently asked questions

Where can patients find DR. DEBORAH L BLACKER (MD SCD)'s NPI?
You can confirm DR. DEBORAH L BLACKER (MD SCD) with NPI 1205800521; it appears in the national provider directory.
Is DR. DEBORAH L BLACKER (MD SCD) currently active in the NPI registry?
CMS-published data lists DR. DEBORAH L BLACKER (MD SCD) as an active registrant.
Can you summarize DR. DEBORAH L BLACKER (MD SCD)'s specialty in plain language?
Clinically, the directory lists DR. DEBORAH L BLACKER (MD SCD) with Geriatric Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where is DR. DEBORAH L BLACKER (MD SCD)'s primary listing?
We display Charlestown, Massachusetts because that is what the record indicates for DR. DEBORAH L BLACKER (MD SCD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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