2026 NPPES data Internal Medicine Physician NPI 1538106240 MD
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DOUGLAS BLECKER, MD

Internal Medicine Physician in CRANSTON, Rhode Island. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
6K
Medicare Part D claims · 381 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

DOUGLAS BLECKER, MD filed 6,129 Medicare Part D claims in 2023 as a Internal Medicine Physician in CRANSTON, Rhode Island, prescribing 89% generic.

6K
Part D claims, 2023
89%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

DOUGLAS BLECKER, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

6,129 Top 5% higher than 95% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

DOUGLAS BLECKER, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about DOUGLAS BLECKER, MD?

Quality data not reported

NPI registry status

Active

Issued 06/01/2006

NPI 1538106240

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

6,129 126% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

Specialty distribution in Rhode Island

How Internal Medicine Physician compares to other specialties among Rhode Island providers

Rhode Island providers

Internal Medicine Physician share within Rhode Island

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within Rhode Island

Specialty board-certification context

Estimated specialty board-certified rate — Internal Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Internal Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Internal Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Internal Medicine Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

DOUGLAS BLECKER, MD is a Internal Medicine Physician provider practicing in CRANSTON, Rhode Island, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1538106240. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

DOUGLAS BLECKER, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 75 SOCKANOSSET CROSS RD STE 100, CRANSTON, RI, 02920, with a listed phone of (401) 736-4500. NPI 1538106240 was issued on 06/01/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BLECKER most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 6,129 prescription claims written by this provider, covering 381 Medicare beneficiaries and totaling roughly $448K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 3.4%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

75 SOCKANOSSET CROSS RD STE 100
CRANSTON, RI 02920

Provider Details

NPI 1538106240
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 06/01/2006

Hospital and facility affiliations

Facilities where DOUGLAS BLECKER, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

AFFINITY PHYSICIANS LLC.
WARWICK, RI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

DOUGLAS BLECKER, MD — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 6,129 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

6,129
Total Claims
$448K
Total Drug Cost
381
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
12,052
Total Day Supply
352,764
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$344K
Generic Drug Cost
$102K
Opioid Claims
208 (3.4% rate)
Antibiotic Claims
66

Patient Demographics

Average Patient Age
72.2 years
Avg HCC Risk Score
1.05
Gender Split
48% female / 52% male
Age Distribution
<65: 38, 65-74: 204, 75-84: 107, 85+: 32

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Amlodipine Besylate
365
Omeprazole
348
Atorvastatin Calcium
300
Lisinopril
221
Losartan Potassium
216
Pravastatin Sodium
205
Tamsulosin Hcl
198
Metoprolol Succinate
159
Hydrochlorothiazide
132
Levothyroxine Sodium
125

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Internal Medicine Physician Overview

How DOUGLAS BLECKER, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

DOUGLAS BLECKER, MD's 6,129 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Rhode Island

Other clinicians with the same primary specialty enrolled in Rhode Island, drawn from the same CMS NPPES roster as BLECKER.

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DOUGLAS BLECKER, MD's specialty?
DOUGLAS BLECKER, MD specializes in Internal Medicine Physician and practices in CRANSTON, Rhode Island. Credentials: MD.
How much does DOUGLAS BLECKER, MD prescribe under Medicare Part D?
In 2023, DOUGLAS BLECKER, MD wrote 6,129 Medicare Part D claims totaling $448K in drug costs for 381 beneficiaries.
Where is DOUGLAS BLECKER, MD located?
DOUGLAS BLECKER, MD is located at 75 SOCKANOSSET CROSS RD STE 100, CRANSTON, RI, 02920. Phone: (401) 736-4500.
What is DOUGLAS BLECKER, MD's NPI number?
DOUGLAS BLECKER, MD's National Provider Identifier (NPI) is 1538106240, issued on 06/01/2006.
Does DOUGLAS BLECKER, MD prescribe more brand-name or generic drugs?
DOUGLAS BLECKER, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $344K in brand drug costs.
Does DOUGLAS BLECKER, MD prescribe opioids?
Yes, DOUGLAS BLECKER, MD had 208 opioid claims in 2023 with an opioid prescribing rate of 3.4%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does DOUGLAS BLECKER, MD prescribe most often?
Based on 2023 Medicare Part D data, DOUGLAS BLECKER, MD's most frequently prescribed drugs include Amlodipine Besylate, Omeprazole, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DOUGLAS BLECKER, MD accept Medicare?
DOUGLAS BLECKER, MD appears in CMS Medicare data with 6,129 Part D claims and 381 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DOUGLAS BLECKER, MD's credentials?
DOUGLAS BLECKER, MD's NPI is 1538106240 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology