Active NPI
Deborah Pacik, MD, LIC. AC.
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Exeter, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 24185
- Practice address
- 1 Hampton Rd Unit 200
Exeter, NH 03833-2995 - Phone
- (037) 757-5756
- Fax
- (603) 778-9680
- NPI assigned
- Aug 31, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 000327 | CT | |
| Physical Medicine & Rehabilitation Physician | 208100000X | PENDING | NH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 24185 | NH | Primary |
Addresses
Primary practice location
1 Hampton Rd Unit 200
Exeter, NH 03833-2995
Mailing address
1 Hampton Rd Unit 200
Exeter, NH 03833-2995
Phone (037) 757-5756
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24185 | Other | NH | NH BOARD OF MEDICINE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- University of Connecticut School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hampton Rd
Unit 200
Exeter, NH 03833-4855
Phone (603) 775-7575
Hospital & facility affiliations
- Portsmouth Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.62 of 100
- Quality
- 53.18
- Promoting interoperability
- 79
- Improvement activities
- 40
- Cost
- 79.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | NH | MD | General Practice Dentistry |
| 000327 | CT | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Sports Medicine & Orthopaedics, PLLC | Current | Accepting new patients | |
| Access Sports Medicine & Orthopaedics, PLLC | Current | Accepting new patients |
Locations
1 Hampton Rd
Unit 200
Exeter, NH 03833
Phone (603) 775-7575
155 Borthwick Ave
Ste 102
Portsmouth, NH 03801
Phone (603) 431-3575
Interoperability endpoints
- dpacik@aosm1214.srs-direct.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Exeter, NH
- NPI 1508938614
-
- Orthopaedic Surgery Physician
- Portsmouth, NH
- NPI 1508233511
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portsmouth, NH
- NPI 1518913607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694563200000",
"number": "1659504165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HAMPTON RD UNIT 200",
"city": "EXETER",
"state": "NH",
"postal_code": "038332995",
"telephone_number": "037-757-5756",
"fax_number": "603-778-9680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HAMPTON RD UNIT 200",
"city": "EXETER",
"state": "NH",
"postal_code": "038332995",
"telephone_number": "037-757-5756",
"fax_number": "603-778-9680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACIK",
"first_name": "DEBORAH",
"credential": "MD, LIC. AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-31",
"last_updated": "2023-09-13",
"certification_date": "2023-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CT",
"license": "000327",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NH",
"license": "PENDING",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "NH",
"license": "24185",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NH BOARD OF MEDICINE",
"identifier": "24185",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Exeter, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.