DR. MICHAEL ROBERT BLACK (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1851589055

DR. MICHAEL ROBERT BLACK (DPM) is a healthcare provider. based in Cape coral, Florida. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. PL00000830 (WA). The NPI Number for DR. MICHAEL ROBERT BLACK (DPM) is 1851589055

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL ROBERT BLACK (DPM)
NPI
1851589055
Phone
(239) 772-4484
Address
657 DEL PRADO BLVD S
Enumeration Date
12 October 2007
Last Update Date
6 May 2025

Doctor Profile

Medical School Name
COLLEGE OF PODIATRIC MED AND SURGERY, DES MOINES UNIVERSITY
Secondary Phone
2394822663
Graduation Year
2007 (19 years ago)
PAC ID
5799819116
Group Practice PAC ID
9931183639
Professional Enrollment ID
I20100819001023
Address ID
FL339193370FO12670LNXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

1,444 PODIATRY in FL

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Provider Addresses for DR. MICHAEL ROBERT BLACK (DPM)

  • 657, Del Prado Boulevard South, Cape Coral, Lee County, Florida, 33990, United States

    CAPE CORAL, FL 339902660

    Phone: (239) 772-4484

    Fax: (844) 364-2545

    Type: Mailing

  • 3530 Kraft Rd Ste 201

    Naples, FL 341055020

    Phone: (239) 445-2112

    Fax: (239) 402-8460

    Type: Location

  • 12670 CREEKSIDE LN STE 202

    FORT MYERS, FL 339193370

    Phone: (239) 482-2663

    Fax: (239) 482-7585

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $2,439.

Total Amount is formed as General ($2,439) + Research ($0) + Ownership ($0) = $2,439.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Paragon 28, Inc. ($1,629).

Total Amount

$2,439

General + Research + Ownership

Payments

37

Total payment records

General Amount

$2,439

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2010-08-19

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
I20100819001023IPodiatryFLTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg33870$0
73630X-ray of foot, minimum of 3 views233163$0
99214Established patient office or other outpatient visit, 30-39 minutes225165$0
99204New patient office or other outpatient visit, 45-59 minutes156156$0
99213Established patient office or other outpatient visit, 20-29 minutes154114$0
View full utilization report →

Insurance plans in this area (ZIP 33990)

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Provider's Procedures

DR. MICHAEL ROBERT BLACK (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYFL73630X-ray of foot, minimum of 3 views171109

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: 9931183639View full group profile
NameSpecialtyState
Physician AssistantFL
P O D I A T R YNJ
Orthopedic SurgeryFL
P O D I A T R YFL
Physician AssistantFL
Physician AssistantFL
Occupational Therapist In Private PracticeFL
P O D I A T R YFL
Physician AssistantIN
Physician AssistantNY

Reviews

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Frequently asked questions

Can I use this page to confirm DR. MICHAEL ROBERT BLACK (DPM)'s NPI?
Yes. DR. MICHAEL ROBERT BLACK (DPM) is listed with NPI 1851589055 in the public NPI dataset.
Does the file indicate DR. MICHAEL ROBERT BLACK (DPM) is practicing under active NPI?
Directory data currently reports DR. MICHAEL ROBERT BLACK (DPM) as active.
What taxonomy line describes DR. MICHAEL ROBERT BLACK (DPM)?
For research purposes, treat DR. MICHAEL ROBERT BLACK (DPM) as Foot & Ankle Surgery Podiatrist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. MICHAEL ROBERT BLACK (DPM)?
DR. MICHAEL ROBERT BLACK (DPM)'s geographic hint is Cape Coral, Florida in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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