DR. DEBRA ELLEN BLAINE MD
NPI 1841358140
General Practice in East Northport, NY
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
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
5Medicare enrollment records show Debra Blaine reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
East Northport, NY 11731
- Reassigned Medicare billing, New York enrollment
- 33 clinicians in this Medicare group
Commack, NY 11725
- Reassigned Medicare billing, New York enrollment
- 596 clinicians in this Medicare group
Nesconset, NY 11767
- Reassigned Medicare billing, New York enrollment
- 31 clinicians in this Medicare group
Wantagh, NY 11793
- Reassigned Medicare billing, New York enrollment
- 66 clinicians in this Medicare group
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 35 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Debra Blaine's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Debra Blaine reassigns Medicare benefits to 5 organizations: Excel Urgent Care Of East Northport, PLLC (East Northport, NY), City Medical Of Upper East Side, PLLC (Commack, NY), Excel Urgent Care Of Nesconset, PLLC (Nesconset, NY), Excel Urgent Care Of Wantagh PLLC (Wantagh, NY) and Excel Urgent Care Of Nhp PLLC (New Hyde Park, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Debra Blaine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 8 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.
# Dr. Debra Ellen Blaine, MD · NPI 1841358140
General Practice physician in East Northport, New York. Individual provider, active in the CMS NPPES registry since December 5, 2006.
## Identity
- **NPI:** 1841358140 (Entity type: Individual)
- **Enumerated:** December 5, 2006
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 179846 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 558 LARKFIELD RD, East Northport, NY 11731-4204
- **Phone:** (631) 486-7459
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Excel Urgent Care Of East Northport, PLLC (NPI 1881978021, East Northport, NY); City Medical Of Upper East Side, PLLC (NPI 1922344712, Commack, NY); Excel Urgent Care Of Nesconset, PLLC (NPI 1851679252, Nesconset, NY); Excel Urgent Care Of Wantagh PLLC (NPI 1184067936, Wantagh, NY); Excel Urgent Care Of Nhp PLLC (NPI 1952652281, New Hyde Park, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Baylor College Of Medicine, class of 1987
## Record status
- **NPPES last updated:** February 24, 2026
- **Other identifiers:** Medicaid 03848208 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1841358140) · Data from the CMS NPPES public registry.