HARRY H BLACK (MD) – Surgery Physician, NPI 1982691077
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,163 GENERAL SURGERY in FL
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Provider Addresses for HARRY H BLACK (MD)
Daytona Beach Post Office, North Atlantic Avenue, Daytona Beach, Volusia County, Florida, 32118, United States
DAYTONA BEACH, FL 321209671
Phone: (386) 676-7130
Fax: (386) 676-7125
Type: Mailing
Halifax Health - Care for Women, 201, North Clyde Morris Boulevard, Daytona Beach, Volusia County, Florida, 32114, United States
SUITE 100
DAYTONA BEACH, FL 321142724
Phone: (386) 238-3295
Fax: (386) 328-3273
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $479.
Total Amount is formed as General ($479) + Research ($0) + Ownership ($0) = $479.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Ethicon US, LLC ($130).
Total Amount
$479
General + Research + Ownership
Payments
14
Total payment records
General Amount
$479
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ethicon US, LLC | $130 |
| Aroa Biosurgery Incorporated | $125 |
| Kerecis Limited | $78 |
| Heron Therapeutics, Inc. | $56 |
| Pacira Pharmaceuticals Incorporated | $50 |
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: 2009-07-10
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 |
|---|---|---|---|---|
| I20090710000369 | I | General Surgery | FL | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 23 | 11 | $0 |
Insurance plans in this area (ZIP 32120)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Sports Medicine | FL | |
| Family Practice | FL | |
| Family Practice | FL | |
| - | WV | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| N E U R O L O G Y | FL | |
| Family Practice | FL |
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