GREGORY BLACK (MD) – Emergency Medicine Physician, NPI 1093368482

GREGORY BLACK (MD) is a healthcare provider. based in Orlando, Florida. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. TRN29438 (FL). The NPI Number for GREGORY BLACK (MD) is 1093368482

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY BLACK (MD)
NPI
1093368482
Phone
(407) 841-5133
Address
1414 KUHL AVE # MP31
Enumeration Date
24 July 2019
Last Update Date
14 June 2022

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
8138704000
Graduation Year
2019 (7 years ago)
PAC ID
2466831474
Group Practice PAC ID
3678746674
Professional Enrollment ID
I20220622002130
Address ID
FL335449216WE4501XBLVD500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

3,232 EMERGENCY MEDICINE in FL

Provider Addresses for GREGORY BLACK (MD)

  • 1414 KUHL AVE # MP31

    ORLANDO, FL 328062008

    Phone: (407) 841-5133

    Fax: (407) 237-6313

    Type: Mailing

  • 2502 W SAINT ISABEL ST

    TAMPA, FL 336076318

    Phone: (813) 874-5707

    Fax: (813) 874-5908

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $124.

Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.

Last reported payment date: 2023-04-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($124).

Total Amount

$124

General + Research + Ownership

Payments

1

Total payment records

General Amount

$124

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-06-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220622002130IEmergency MedicineFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making150144$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only4644$0
99284Emergency department visit with moderate level of medical decision making4242$0
99291Critical care, first 30-74 minutes3231$0
View full utilization report →

Insurance plans in this area (ZIP 32806)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678746674View full group profile
NameSpecialtyState
-FL
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineFL
Emergency Medicine, Pediatric MedicineNC
Nurse PractitionerFL
Nurse PractitionerFL
-FL
Emergency MedicineFL
Emergency MedicineFL

Reviews

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Frequently asked questions

What is GREGORY BLACK (MD)'s NPI number?
GREGORY BLACK (MD)'s NPI is 1093368482 — the number used across U.S. healthcare to identify this provider.
Is GREGORY BLACK (MD) shown as active in public data?
Registry records indicate GREGORY BLACK (MD) maintains an active NPI.
What clinical focus is listed for GREGORY BLACK (MD)?
At a glance, GREGORY BLACK (MD) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is GREGORY BLACK (MD) located near Orlando?
GREGORY BLACK (MD) currently maps to Orlando, Florida in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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