BRANDON R BLACK (M.D.) – Diagnostic Radiology Physician, NPI 1740249879
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
927 DIAGNOSTIC RADIOLOGY in CO
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Provider Addresses for BRANDON R BLACK (M.D.)
North Greenwood Street, Northside, Pueblo, Pueblo County, Colorado, 81002, United States
SUITE 103
PUEBLO, CO 810032644
Phone: (719) 542-2167
Fax: (719) 542-0320
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 19 Open Payments records for all available years, with a total value of $10,858.
Total Amount is formed as General ($10,858) + Research ($0) + Ownership ($0) = $10,858.
Last reported payment date: 2024-05-09 • Largest payer in this snapshot: Siemens Medical Solutions USA, Inc. ($10,814).
Total Amount
$10,858
General + Research + Ownership
Payments
19
Total payment records
General Amount
$10,858
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Siemens Medical Solutions USA, Inc. | $10,814 |
| Progenics Pharmaceuticals, Inc. | $44 |
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: 2008-08-01
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 |
|---|---|---|---|---|
| I20080801000228 | I | Diagnostic Radiology | CO | 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 |
|---|---|---|---|---|
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 620 | 35 | $0 |
| 71045 | X-ray of chest, 1 view | 615 | 480 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 480 | 46 | $0 |
| 77063 | Screening 3d breast mammography | 271 | 271 | $0 |
| 77067 | Screening mammography | 271 | 271 | $0 |
Insurance plans in this area (ZIP 81003)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | CO | 62311 | Injections of substances into lower or sacral spine | 14 | 12 |
| DIAGNOSTIC RADIOLOGY | CO | 71250 | CT scan chest | 20 | 20 |
| DIAGNOSTIC RADIOLOGY | CO | 73110 | X-ray of wrist, minimum of 3 views | 43 | 38 |
| DIAGNOSTIC RADIOLOGY | CO | 73562 | X-ray of knee, 3 views | 23 | 20 |
| DIAGNOSTIC RADIOLOGY | CO | 74177 | CT scan of abdomen and pelvis with contrast | 184 | 178 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | CO | |
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | NC | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology, Interventional Radiology, Nuclear Medicine | IN | |
| Diagnostic Radiology | CO |
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