Individual provider Active NPI

Deborah Pacik, MD, LIC. AC.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Exeter, NH
National Provider Identifier
1659504165
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
24185 Issued in NH
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

Updated by the provider on Sep 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
24185OtherNHNH 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230614002203 NH Practitioner - Physical Medicine and Rehabilitation 4981952900 Reassigns benefits to 1 organization

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
Access Sports Medicine and Orthopaedics, PLLCGroup PAC ID 4082512611, 35 clinicians

Practice addresses (Care Compare)

1 Hampton Rd
Unit 200
Exeter, NH 03833-4855
Phone (603) 775-7575

Hospital & facility affiliations

  • Portsmouth Regional Hospital Hospital, Portsmouth, NH, CCN 300029

Merit-based Incentive Payment System (MIPS)

Final score
74.62 of 100Reported as group
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

LicenseStateTypeSpecialty
PENDINGNHMDGeneral Practice Dentistry
000327CTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Access Sports Medicine & Orthopaedics, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Access Sports Medicine & Orthopaedics, PLLC CurrentSince Aug 1, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.