DR. LISA BREAUX BLACK (M.D.) – Family Medicine Physician, NPI 1851484307

DR. LISA BREAUX BLACK (M.D.) is a healthcare provider. based in New smyrna beach, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 22558 (LA). The NPI Number for DR. LISA BREAUX BLACK (M.D.) is 1851484307

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA BREAUX BLACK (M.D.)
NPI
1851484307
Phone
(386) 424-1584
Address
161 N CAUSEWAY STE A
Enumeration Date
2 October 2006
Last Update Date
3 April 2026

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Secondary Phone
3864241584
Graduation Year
1998 (28 years ago)
PAC ID
4082706643
Group Practice PAC ID
0840370375
Professional Enrollment ID
I20231108002129
Address ID
FL321695328NE161XXCAUS301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

Provider Addresses for DR. LISA BREAUX BLACK (M.D.)

  • 161 N CAUSEWAY STE A

    NEW SMYRNA BEACH, FL 321695328

    Phone: (386) 424-1584

    Fax: (386) 410-4800

    Type: Mailing

  • 1700 Kaliste Saloom

    Building 6 Suite 600

    Lafayette, LA 70508

    Phone: (337) 252-3099

    Fax: (337) 252-3096

    Type: Location

  • 895 Verret St

    Houma, LA 703604635

    Phone: (985) 200-3225

    Fax: (985) 746-5240

    Type: Location

  • 502 Barrow Street

    Houma, LA 70360

    Phone: (985) 876-2150

    Fax: (985) 876-7413

    Type: Location

  • 895, Verret Street, Houma, Terrebonne Parish, Louisiana, 70360, United States

    HOUMA, LA 703604635

    Phone: (985) 200-3225

    Fax: (985) 746-1204

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $338.

Total Amount is formed as General ($338) + Research ($0) + Ownership ($0) = $338.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Novo Nordisk Inc ($184).

Total Amount

$338

General + Research + Ownership

Payments

16

Total payment records

General Amount

$338

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2023-11-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20080709000257IFamily PracticeLATBD
I20231108002129IFamily PracticeFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes10191$0
99213Established patient office or other outpatient visit, 20-29 minutes8274$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza4645$0
99203New patient office or other outpatient visit, 30-44 minutes4141$0
99204New patient office or other outpatient visit, 45-59 minutes4040$0
View full utilization report →

Insurance plans in this area (ZIP 32169)

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Provider's Procedures

DR. LISA BREAUX BLACK (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINELA83036Hemoglobin A1C level9773

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: 0840370375View full group profile
NameSpecialtyState
Family PracticeFL
Internal Medicine, Pediatric MedicineFL

Reviews

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Frequently asked questions

Can I use this page to confirm DR. LISA BREAUX BLACK (M.D.)'s NPI?
Yes. DR. LISA BREAUX BLACK (M.D.) is listed with NPI 1851484307 in the public NPI dataset.
Does the file indicate DR. LISA BREAUX BLACK (M.D.) is practicing under active NPI?
Directory data currently reports DR. LISA BREAUX BLACK (M.D.) as active.
What is DR. LISA BREAUX BLACK (M.D.)'s primary classification?
Family Medicine Physician is the headline specialty for DR. LISA BREAUX BLACK (M.D.) here. Clinical services aligned with this taxonomy classification.
Does DR. LISA BREAUX BLACK (M.D.) list a practice location?
Patients near New Smyrna Beach, Florida may find DR. LISA BREAUX BLACK (M.D.) in results; validate coverage separately.
Is the information about DR. LISA BREAUX BLACK (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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