Active NPI 1538106240 Individual Practitioner Male Practitioner

Dr. Douglas L Blecker , MD

Internal Medicine • Cranston, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Blecker, MD is a certified Internal Medicine practicing in Cranston, RI. With approximately 27 years of clinical experience since graduating from Tufts University School Of Medicine in 1999, Dr. Blecker delivers high-quality medical care to the local community at 75 SOCKANOSSET CROSS RD STE 100.

Dr. Blecker is affiliated with Affinity Physicians Llc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

75 Sockanosset Cross Rd Ste 100

Cranston, RI 029205558

Telephone 4017364500

Fax 4014590231

Associated Practice Facility / Clinic

🏢 Kent County Memorial Hospital Facility NPI 1386643294

Medicare Profile & Education

Medical School

Tufts University School Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Cranston, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs -3.4 yrs vs City Avg

City Avg: 30.4 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

41 Specialists

Practicing in Cranston, RI (1079 Statewide)

Telehealth Adoption Rate

19.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blecker (27 Years) 27 Yrs

Cranston Specialty Average (30.4 Years) 30.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	228	126	$301.00	$96.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	129	129	$308.00	$130.46
99213 Established patient office or other outpatient visit, typically 15 minutes	100	72	$214.00	$65.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	20	$425.00	$143.24
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	21	19	$19.00	$8.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	282	145	$301.00	$98.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	138	138	$308.00	$131.28
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	71	49	$425.00	$144.74
99213 Established patient office or other outpatient visit, typically 15 minutes	70	52	$214.00	$66.71
99442 Telephone medical discussion with physician, 11-20 minutes	65	48	$213.00	$66.80
99443 Telephone medical discussion with physician, 21-30 minutes	26	21	$301.00	$98.12
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	21	20	$19.00	$8.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	273	153	$298.10	$100.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	151	151	$306.30	$134.81
99442 Telephone medical discussion with physician, 11-20 minutes	102	69	$207.82	$68.20
99213 Established patient office or other outpatient visit, typically 15 minutes	79	68	$212.56	$68.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	51	38	$414.02	$149.61
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	46	40	$19.02	$8.40
99443 Telephone medical discussion with physician, 21-30 minutes	44	31	$267.05	$101.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	252	142	$257.00	$103.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	149	149	$276.00	$139.13
99213 Established patient office or other outpatient visit, typically 15 minutes	124	85	$176.00	$69.83
99442 Telephone medical discussion with physician, 11-20 minutes	86	63	$134.80	$68.95
99443 Telephone medical discussion with physician, 21-30 minutes	68	51	$222.46	$102.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	55	45	$345.00	$150.64
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	49	44	$20.00	$8.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	184	122	$257.00	$81.49
99213 Established patient office or other outpatient visit, typically 15 minutes	183	113	$176.00	$53.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	135	135	$276.00	$120.97
99443 Telephone medical discussion with physician, 21-30 minutes	57	42	$98.00	$82.82
99442 Telephone medical discussion with physician, 11-20 minutes	48	37	$66.00	$53.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	40	36	$345.00	$113.75
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	29	29	$20.00	$8.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	340	179	$256.36	$81.06
99213 Established patient office or other outpatient visit, typically 15 minutes	182	116	$175.64	$51.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	149	149	$275.56	$120.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	62	51	$343.45	$113.13
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	37	34	$20.00	$8.62
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	27	16	$34.85	$12.75
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$393.20	$130.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	284	152	$170.00	$51.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	221	151	$250.00	$78.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	144	144	$271.00	$117.58
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	52	47	$20.00	$8.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$337.00	$111.36
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$388.00	$126.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$383.00	$129.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	272	168	$170.00	$50.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	130	80	$250.00	$76.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	106	106	$271.00	$115.75
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	24	23	$20.00	$8.46
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$388.00	$126.08

Medical Specialties & State Licenses

CMS Verified: 2025-10-30

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License RI MD11204

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Affinity Physicians Llc.

455 Toll Gate Rd, Warwick, RI 028862759

Phone: 4017377010

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Laura Ofstead , MD

Internal Medicine

NPI 1437106382

Doctor of Medicine (M.D.)

Dr. Natalia Belosloudtseva , MD, PhD

Internal Medicine

NPI 1629347638

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Elena Burns , APRN

Nurse Practitioner - Family

NPI 1720757354

Advanced Practice Registered Nurse

Kayla Cross , NP

Nurse Practitioner - Family

NPI 1811246275

Nurse Practitioner

Dr. Jessica Pineda , MD

Family Medicine

NPI 1831416312

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location October 30, 2025

Registered at 75 SOCKANOSSET CROSS RD STE 100, CRANSTON, RI 029205558 (Tel: 4017364500)

📍

Updated Business Mailing Address October 30, 2025

Registered at 455 TOLL GATE RD, PRC AND CREDENTIALING, WARWICK, RI 028862759 (Tel: 4012730641)

✅

NPI Profile Active May 29, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location May 29, 2008

Registered at 111 PLAIN ST, 2ND FLOOR, PROVIDENCE, RI 029034816 (Tel: 4014441770)

📍

Updated Business Mailing Address May 29, 2008

Registered at PO BOX 1358, PROVIDENCE, RI 029011358

👤

Provider Name / Credentials Updated May 29, 2008

Recorded as DOUGLAS BLECKER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2008

Internal Medicine (License #MD11204 in RI)

🟢

Initial NPI Registration & Enumeration June 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Douglas Blecker. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1538106240

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 01, 2006

Last Update: October 30, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

455 Toll Gate Rd, Prc And Credentialing

Warwick, RI 028862759

Phone: 4012730641

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.