DOUGLAS P BLACKALL MD
NPI 1891885380
Pathology - Clinical Pathology in Portland, OR
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
Specialties & Licenses 3
Secondary Practice Location 1
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
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.
Medicare Billing Reassignments
8Medicare enrollment records show Douglas Blackall reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97213
- Reassigned Medicare billing, Oregon enrollment
- 676 clinicians in this Medicare group
Milwaukie, OR 97222
- Reassigned Medicare billing, Oregon enrollment
- 229 clinicians in this Medicare group
Portland, OR 97225
- Reassigned Medicare billing, Oregon enrollment
- 753 clinicians in this Medicare group
Oregon City, OR 97045
- Reassigned Medicare billing, Oregon enrollment
- 206 clinicians in this Medicare group
Newberg, OR 97132
- Reassigned Medicare billing, Oregon enrollment
- 198 clinicians in this Medicare group
Mt Hood, OR 97041
- Reassigned Medicare billing, Oregon enrollment
- Medicare enrollment name: Providence Health & Services Oregon
- Also billed through NPI 1255429338 (Oregon)
- 267 clinicians in this Medicare group
Cannon Beach, OR 97110
- Reassigned Medicare billing, Oregon enrollment
- 301 clinicians in this Medicare group
Medford, OR 97504
- Reassigned Medicare billing, Oregon enrollment
- 311 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.
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.
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, ORProvidence Newberg Medical Center
Acute Care Hospitals · Newberg, ORProvidence Willamette Falls Medical Center
Acute Care Hospitals · Oregon City, ORProvidence Portland Medical Center
Acute Care Hospitals · Portland, ORProvidence Medford Medical Center
Acute Care Hospitals · Medford, ORPhysician 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.
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Douglas Blackall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Blackall reassigns Medicare benefits to 8 organizations: Providence Health & Services - Oregon (Portland, OR), Providence Health & Services Oregon (Milwaukie, OR), Providence Health & Services - Oregon (Portland, OR), Providence Health & Services - Oregon (Oregon City, OR), Providence Health & Services - Oregon (Newberg, OR) and 3 more organizations, listed in the Medicare section above. 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 Douglas Blackall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Douglas Blackall affiliated with any hospitals?
According to CMS data, Douglas Blackall is affiliated with Providence St Vincent Medical Center, Providence Newberg Medical Center, Providence Willamette Falls Medical Center, Providence Portland Medical Center and Providence Medford Medical Center.
When was this NPI record last updated?
The NPPES record for Douglas Blackall was last updated on January 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Douglas P Blackall, MD · NPI 1891885380
Clinical Pathology physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since October 13, 2006.
## Identity
- **NPI:** 1891885380 (Entity type: Individual)
- **Enumerated:** October 13, 2006
- **Primary specialty:** Pathology - Clinical Pathology · taxonomy 207ZC0006X
- **State license:** MD202871 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 4805 NE GLISAN ST, Portland, OR 97213-2933
- **Phone:** (503) 215-6096
## 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:** 8 organizations under Medicare reassignment (form CMS-855R): Providence Health & Services - Oregon (NPI 1003991845, Portland, OR); Providence Health & Services Oregon (NPI 1366536963, Milwaukie, OR); Providence Health & Services - Oregon (NPI 1235259532, Portland, OR); Providence Health & Services - Oregon (NPI 1003368911, Oregon City, OR); Providence Health & Services - Oregon (NPI 1174074868, Newberg, OR); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Arkansas College Of Medicine, class of 1988
## Record status
- **NPPES last updated:** January 15, 2021
- **Other identifiers:** Medicaid 152157001 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1891885380) · Data from the CMS NPPES public registry.