DEBRA S ROSENBLUM M.D.
NPI 1255448841
Psychiatry & Neurology - Psychiatry in Cambridge, MA

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
86.26/100
CMS Quality Rating
1493 CAMBRIDGE ST, CAMBRIDGE HEALTH ALLIANCE, CAMBRIDGE, MA 02139(617) 492-4348 Get Directions Write a Review

NPPES record last updated: December 8, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Debra S Rosenblum M.d. NPPES

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

DEBRA S ROSENBLUM M.D. (NPI 1255448841) is an individual psychiatry provider in Cambridge, Massachusetts, licensed in Massachusetts (75125) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Cambridge Health Alliance, and is a graduate of Boston University School Of Medicine (1990).

NPPES Registry Identity

NPI1255448841
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDEBRA S ROSENBLUMCredential: M.D.
Location Address1493 CAMBRIDGE ST, CAMBRIDGE HEALTH ALLIANCECambridge, MA 02139-1047
Mailing Address205 Richdale Ave, Apt. #a-17Cambridge, MA 02140-3349 · (617) 492-4348
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1990
Enumeration DateAugust 23, 2006
Last NPPES UpdateDecember 8, 2011
NPI 1255448841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in MA · 75125
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1493 CAMBRIDGE ST, Cambridge, MA 02139

Other Identifiers 2

Medicare PINRX0159MA
Medicaid1211978MA

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

Debra S Rosenblum M.d. 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 ID3678753944
PECOS Enrollment IDI20110204000070
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

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.
59 services17 patients

Hospital Affiliations CMS Care Compare

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

Cambridge Health Alliance

Acute Care Hospitals · Cambridge, MA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number220011
Location1493 Cambridge StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02139 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
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.84
Promoting Interoperability100
Improvement Activities40
Cost58.7

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Social Worker (Clinical)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Registered Nurse
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Registered Nurse
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Social Worker (Clinical)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Registered Nurse (Ambulatory Care)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Registered Nurse (Neonatal, Low-Risk)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Occupational Therapist
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139

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 Debra Rosenblum's NPI number?

The NPI number for Debra Rosenblum is 1255448841. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Debra Rosenblum located?

Debra Rosenblum practices at 1493 Cambridge St Cambridge Health Alliance, Cambridge, MA 02139. The listed phone number is (617) 492-4348.

What is Debra Rosenblum's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Debra Rosenblum enrolled in Medicare?

Yes. Debra Rosenblum 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 Debra Rosenblum accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Debra Rosenblum 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.

Is Debra Rosenblum affiliated with any hospitals?

According to CMS data, Debra Rosenblum is affiliated with Cambridge Health Alliance.

When was this NPI record last updated?

The NPPES record for Debra Rosenblum was last updated on December 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.