DOUGLAS P BLACKALL MD
NPI 1891885380
Pathology - Clinical Pathology in Portland, OR

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4805 NE GLISAN ST, PORTLAND, OR 97213(503) 215-6096 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Douglas P Blackall Md NPPES

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

DOUGLAS P BLACKALL MD (NPI 1891885380) is an individual clinical pathology provider in Portland, Oregon, licensed in Oregon (MD202871) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and maintains a secondary practice location in Little Rock.

NPPES Registry Identity

NPI1891885380
Entity TypeIndividualMale
Primary Taxonomy207ZC0006X
Provider Legal NameDOUGLAS P BLACKALLCredential: MD
Location Address4805 NE GLISAN STPortland, OR 97213-2933
Mailing AddressPo Box 3395Portland, OR 97208-3395 · (503) 215-6023
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1988
Enumeration DateOctober 13, 2006
Last NPPES UpdateJanuary 15, 2021
NPPES CertifiedJanuary 15, 2021
NPI 1891885380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPathology · Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZC0006X
License Licensed in OR · MD202871
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · Blood Banking & Transfusion MedicineTaxonomy 207ZB0001X · License C-7459 (AR), MD202871 (OR)
Also ListedPathology · Clinical Pathology/Laboratory MedicineTaxonomy 207ZP0105X · License C-7459 (AR)
4805 NE GLISAN ST, Portland, OR 97213

Secondary Practice Location 1

Location 1800 Marshall St # 653Little Rock, AR 72202-3510 · Phone (501) 364-1100

Other Identifiers 1

Medicaid152157001AR

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

Douglas P Blackall 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 ID840192274
PECOS Enrollment IDI20210114001726
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 3

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.

Blood bank physician services for cross match and/or evaluation and written report 86077
Blood bank physician services for cross match involve testing your blood against donor blood to ensure compatibility before a transfusion. The evaluation includes a detailed analysis of your blood type and antibodies. A written report will be provided, summarizing the findings.
126 services106 patients
Protein measurement, serum 84165
A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.
60 services46 patients
Protein measurement, body fluid 84166
A protein measurement of body fluid is a test that gauges the amount of proteins in your fluids. This analysis helps in detecting various health conditions. It's done via a simple sample collection process, usually from blood or urine, in a safe and painless manner.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Providence Willamette Falls Medical Center

Acute Care Hospitals · Oregon City, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380038
Location1500 Division StreetOregon City, OR 97045 · Clackamas County
Emergency services Birthing friendly

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Providence Medford Medical Center

Acute Care Hospitals · Medford, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380075
Location1111 Crater Lake AvenueMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Providence Seaside Hospital

Critical Access Hospitals · Seaside, OR
OwnershipVoluntary non-profit - Church
CMS Certification Number381303
Location725 S Wahanna RoadSeaside, OR 97138 · Clatsop County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97213 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost100

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.

Internal Medicine
4805 NE GLISAN ST
PORTLAND, OR 97213
General Acute Care Hospital
4805 NE GLISAN ST
PORTLAND, OR 97213
Emergency Medicine
4805 NE GLISAN ST
PORTLAND, OR 97213
Nurse Anesthetist, Certified Registered
4805 NE GLISAN ST
PORTLAND, OR 97213
Psychiatric Unit
4805 NE GLISAN ST
PORTLAND, OR 97213
Hospitalist
4805 NE GLISAN ST, STE BG05
PORTLAND, OR 97213
Doula
4805 NE GLISAN ST
PORTLAND, OR 97213
Nurse's Aide
4805 NE GLISAN ST
PORTLAND, OR 97213

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 Douglas Blackall's NPI number?

The NPI number for Douglas Blackall is 1891885380. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Douglas Blackall located?

Douglas Blackall practices at 4805 NE Glisan St, Portland, OR 97213. The listed phone number is (503) 215-6096.

What is Douglas Blackall's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology, with taxonomy code 207ZC0006X.

Is Douglas Blackall enrolled in Medicare?

Yes. Douglas Blackall 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.

Is Douglas Blackall affiliated with any hospitals?

According to CMS data, Douglas Blackall is affiliated with Providence St Vincent Medical Center, Providence Willamette Falls Medical Center, Providence Portland Medical Center, Providence Medford Medical Center and Providence Seaside Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Blackall was last updated on January 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.