Douglas Blecker, MD
NPI 1538106240 · Internal Medicine Physician · Cranston, RI
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Douglas Blecker, MD is a Internal Medicine Physician provider in Cranston, RI (NPI 1538106240).
Provider details
- NPI number
- 1538106240
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD11204 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
502 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 228 | $97 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 129 | $130 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 100 | $65 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 24 | $143 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 21 | $8 |
Typical Medicare-allowed amounts for these services range $8–$143 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 104 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 446 | 103 |
| Atorvastatin Calcium | 332 | 85 |
| Omeprazole | 327 | 70 |
| Losartan Potassium | 233 | 57 |
| Lisinopril | 228 | 52 |
| Pravastatin Sodium | 219 | 55 |
| Tamsulosin Hcl | 177 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-01
- Last updated
- 2025-10-30
- Certified
- 2025-10-30
Frequently asked questions
- What is Douglas Blecker's NPI number?
- Douglas Blecker's National Provider Identifier (NPI) is 1538106240, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Douglas Blecker's specialty?
- Douglas Blecker is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Douglas Blecker located?
- Douglas Blecker's practice location on file with NPPES is 75 Sockanosset Cross Rd Ste 100, Cranston, RI 02920-5558.
- What is Douglas Blecker's phone number?
- The practice phone number listed in the NPPES registry for Douglas Blecker is (401) 736-4500.
- Does Douglas Blecker accept Medicare?
- Douglas Blecker is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Douglas Blecker's NPI active?
- Yes — Douglas Blecker's NPI (1538106240) is active in the NPPES registry as of the last update on 2025-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.