DR. DEBRA ELLEN BLAINE MD
NPI 1841358140
General Practice in East Northport, NY

Active since December 05, 2006PECOS EnrolledAccepts Medicare Assignment
76.52/100
CMS Quality Rating
558 LARKFIELD RD, EAST NORTHPORT, NY 11731(631) 486-7459 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Debra Ellen Blaine Md NPPES

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

DR. DEBRA ELLEN BLAINE MD (NPI 1841358140) is an individual general practice provider in East Northport, New York, licensed in New York (179846) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (1987).

NPPES Registry Identity

NPI1841358140
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. DEBRA ELLEN BLAINECredential: MD
Location Address558 LARKFIELD RDEast Northport, NY 11731-4204
Mailing Address46 Northgate CresMelville, NY 11747-3028 · (516) 822-9109
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1987
Enumeration DateDecember 5, 2006
Last NPPES UpdateFebruary 24, 2026
NPPES CertifiedFebruary 24, 2026
NPI 1841358140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in NY · 179846
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
558 LARKFIELD RD, East Northport, NY 11731

Other Identifiers 1

Medicaid03848208NY

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. Debra Ellen Blaine 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 ID5991785818
PECOS Enrollment IDI20040721001743
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.

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.

76.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.02
Promoting Interoperability100
Improvement Activities40
Cost57.73

Other Providers at the Same Location NPPES 4

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

Family Medicine
558 LARKFIELD RD
EAST NORTHPORT, NY 11731
Physician Assistant
558 LARKFIELD RD
EAST NORTHPORT, NY 11731
Clinic/Center (Urgent Care)
558 LARKFIELD RD
EAST NORTHPORT, NY 11731
Emergency Medicine
558 LARKFIELD RD
EAST NORTHPORT, NY 11731

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 Blaine's NPI number?

The NPI number for Debra Blaine is 1841358140. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Debra Blaine located?

Debra Blaine practices at 558 Larkfield Rd, East Northport, NY 11731. The listed phone number is (631) 486-7459.

What is Debra Blaine's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Debra Blaine enrolled in Medicare?

Yes. Debra Blaine 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.

When was this NPI record last updated?

The NPPES record for Debra Blaine was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.