DR. BLAISE EDWARD FERRARACCIO (MD) – Neurology Physician, NPI 1679539142

DR. BLAISE EDWARD FERRARACCIO (MD) is a healthcare provider. based in Nacogdoches, Texas. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. L8055 (TX). The NPI Number for DR. BLAISE EDWARD FERRARACCIO (MD) is 1679539142

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. BLAISE EDWARD FERRARACCIO (MD)
NPI
1679539142
Phone
(936) 559-9510
Address
4848 NE STALLINGS DR STE 106
Enumeration Date
25 April 2006
Last Update Date
8 December 2021

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9367010040
Graduation Year
1979 (47 years ago)
PAC ID
9335032382
Group Practice PAC ID
7315019593
Professional Enrollment ID
I20040204000644
Address ID
TX759651256NA4848XDRXX403
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,738 NEUROLOGY in TX

Provider Addresses for DR. BLAISE EDWARD FERRARACCIO (MD)

  • 4848 NE STALLINGS DR STE 106

    NACOGDOCHES, TX 759651256

    Phone: (936) 559-9510

    Fax: (936) 559-9598

    Type: Mailing

  • Northeast Stallings Drive, Nacogdoches, Nacogdoches County, Texas, 75961, United States

    STE 1300

    NACOGDOCHES, TX 75965

    Phone: (936) 559-9510

    Fax: (936) 559-9598

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 69 Open Payments records for all available years, with a total value of $1,158.

Total Amount is formed as General ($1,158) + Research ($0) + Ownership ($0) = $1,158.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: ABBVIE INC. ($228).

Total Amount

$1,158

General + Research + Ownership

Payments

69

Total payment records

General Amount

$1,158

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2004-02-04

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
I20040204000644INeurologyTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes443238$0
99213Established patient office or other outpatient visit, 20-29 minutes342214$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes118108$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6146$0
99204New patient office or other outpatient visit, 45-59 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 75965)

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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: 7315019593View full group profile
NameSpecialtyState
-TX
-TX
Family PracticeTX
Physical Therapist In Private PracticeTX
-TX
-TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX
Cardiovascular Disease (Cardiology), Internal MedicineNC

Reviews

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Frequently asked questions

What identifier follows DR. BLAISE EDWARD FERRARACCIO (MD) across health systems?
The NPI 1679539142 uniquely identifies DR. BLAISE EDWARD FERRARACCIO (MD) in U.S. healthcare data.
Should I treat DR. BLAISE EDWARD FERRARACCIO (MD) as an active provider?
Patients and plans typically see DR. BLAISE EDWARD FERRARACCIO (MD) as active in the national extract.
How should patients interpret DR. BLAISE EDWARD FERRARACCIO (MD)'s specialty?
The extract shows Neurology Physician for DR. BLAISE EDWARD FERRARACCIO (MD). Clinical services aligned with this taxonomy classification.
Which community is linked to DR. BLAISE EDWARD FERRARACCIO (MD)?
DR. BLAISE EDWARD FERRARACCIO (MD) shows a connection to Nacogdoches, Texas in registry-derived data.
Can I export DR. BLAISE EDWARD FERRARACCIO (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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