BLAKELY ANN PLASTER PA-C
NPI 1194055327
Physician Assistant in Brookline, MA

Active since January 11, 2010PECOS EnrolledAccepts Medicare Assignment
235 CYPRESS ST, BROOKLINE, MA 02445(617) 383-6250 Get Directions Write a Review

NPPES record last updated: November 11, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Blakely Ann Plaster Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAKELY ANN PLASTER PA-C (NPI 1194055327) is an individual physician assistant in Brookline, Massachusetts, licensed in Massachusetts (PA3927) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1194055327
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBLAKELY ANN PLASTERCredential: PA-C
Location Address235 CYPRESS STBrookline, MA 02445-6776
Mailing Address1493 Cambridge StCambridge, MA 02139-1047 · (617) 665-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 11, 2010
Last NPPES UpdateNovember 11, 2015
NPI 1194055327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MA · PA3927
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

235 CYPRESS ST, Brookline, MA 02445

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Blakely Ann Plaster Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153516174
PECOS Enrollment IDI20101116000277
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02445 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Plastic Surgery
235 CYPRESS ST, SUITE 210
BROOKLINE, MA 02445
Physical Therapist
235 CYPRESS ST, STE 100
BROOKLINE, MA 02445
Physical Therapist
235 CYPRESS ST, SUITE 100
BROOKLINE, MA 02445
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
235 CYPRESS ST
BROOKLINE, MA 02445
Plastic Surgery
235 CYPRESS ST, SUITE 210
BROOKLINE, MA 02445
Clinic/Center (Ambulatory Surgical)
235 CYPRESS ST, SUITE 210
BROOKLINE, MA 02445
Dermatology
235 CYPRESS ST, SUITE 200
BROOKLINE, MA 02445
Community/Behavioral Health
235 CYPRESS ST
BROOKLINE, MA 02445

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194055327, enumerated as an "individual" on January 11, 2010.

The provider is located at 235 CYPRESS ST BROOKLINE, MA 02445 and the phone number is (617) 383-6250.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.

Blakely Plaster is affiliated with: BETH ISRAEL DEACONESS MEDICAL CENTER.