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DR. SPENCER L. BLACKMAN MD
NPI 1205914884
Family Medicine in Boston, MA

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
53 STATE ST, BOSTON, MA 02109(617) 903-5000(415) 252-7176 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2025, Mar 17, 2025, Sep 2, 2022 (3 updates tracked since 2022).

About Dr. Spencer L. Blackman Md NPPES

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

DR. SPENCER L. BLACKMAN MD (NPI 1205914884) is an individual family medicine provider in Boston, Massachusetts, licensed in Massachusetts (254843) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Colchester, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2003).

NPPES Registry Identity

NPI1205914884
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SPENCER L. BLACKMANCredential: MD
Location Address53 STATE STBoston, MA 02109-2820
Mailing Address1 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723 · (415) 658-6791 · Fax (802) 847-7559
Phone(617) 903-5000
Fax(415) 252-7176
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2003
Enumeration DateNovember 1, 2006
Last NPPES UpdateApril 11, 20253 updates tracked since enumeration
NPPES CertifiedApril 11, 2025
✔ NPI 1205914884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MA · 254843✔ Licensed in GA · 84995✔ Licensed in NC · 2020-04415✔ Licensed in TX · V4643✔ Licensed in CA · A88542✔ Licensed in VT · 042.0013274
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
53 STATE ST, Boston, MA 02109
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Secondary Practice Location 1

Location 1790 College Parkway, UVM Medical Center - Family MedicineColchester, VT 05446 · Phone (802) 847-1170 · Fax (802) 847-7559

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Spencer L. Blackman Md 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 ID2567483282
PECOS Enrollment IDI20151203002100, I20220921000313
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
29 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02109 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
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
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 8

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

LEE ORSKY PA
Physician Assistant
53 STATE ST
BOSTON, MA 02109
Suffolk County (888) 663-6331
MISS ALLEGRA LUZIA NORTON RN, FNP-C
Nurse Practitioner (Family)
53 STATE ST
BOSTON, MA 02109
Suffolk County (888) 663-6331
DR. SHARON SIMA MENORA
Psychologist (Clinical)
53 STATE ST
BOSTON, MA 02109
Suffolk County (516) 606-4846
ERIN ELIZABETH MCNIFF
Physician Assistant
53 STATE ST
BOSTON, MA 02109
Suffolk County (888) 663-6331
MRS. JENNIFER BAIRD MSW, LICSW
Social Worker (Clinical)
53 STATE ST
BOSTON, MA 02109
Suffolk County (617) 752-8698
SHIUNRU J. CHEN M.D.
Internal Medicine
53 STATE ST
BOSTON, MA 02109
Suffolk County (888) 663-6331
CHARLOTTE ROBERTSHAW NP
Nurse Practitioner (Primary Care)
53 STATE ST
BOSTON, MA 02109
Suffolk County (617) 903-5000
VIOLET LANDRY FNP
Nurse Practitioner (Family)
53 STATE ST
BOSTON, MA 02109
Suffolk County (888) 663-6331

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spencer Blackman's NPI number?

The NPI number for Spencer Blackman is 1205914884. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Spencer Blackman located?

Spencer Blackman practices at 53 State St, Boston, MA 02109. The listed phone number is (617) 903-5000.

What is Spencer Blackman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Spencer Blackman enrolled in Medicare?

Yes. Spencer Blackman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Spencer Blackman accept?

Health plans from Anthem Blue Cross and Blue Shield list Spencer Blackman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Spencer Blackman was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.