DR. RANDALL WAYNE BLACK (MD) – Otolaryngology Physician, NPI 1942268909
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
103 OTOLARYNGOLOGY in AR
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Provider Addresses for DR. RANDALL WAYNE BLACK (MD)
Ear Nose & Throat, 5204, West Redbud Street, Rogers, Benton County, Arkansas, 72758, United States
ROGERS, AR 72758
Phone: (479) 636-0110
Fax: (479) 631-0491
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $633.
Total Amount is formed as General ($633) + Research ($0) + Ownership ($0) = $633.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($244).
Total Amount
$633
General + Research + Ownership
Payments
28
Total payment records
General Amount
$633
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-04-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080409000248 | I | Otolaryngology | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 454 | 341 | $0 |
| 69210 | Removal of impacted ear wax | 220 | 160 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 102 | 97 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 102 | 102 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 70 | 70 | $0 |
Insurance plans in this area (ZIP 72758)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | AR | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | MO | |
| Nurse Practitioner | AR | |
| Internal Medicine, General Practice | AR | |
| - | AR | |
| R H E U M A T O L O G Y | AR | |
| - | AR | |
| - | AR | |
| - | AR | |
| Nurse Practitioner | AR |
Reviews
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