CHRISTINE E BLACK (MD) – Obstetrics & Gynecology Physician, NPI 1013282169
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
201 OBSTETRICS/GYNECOLOGY in ID
Provider Addresses for CHRISTINE E BLACK (MD)
500 S 11TH AVE STE 400
POCATELLO, ID 832014880
Phone: (208) 232-7862
Fax: (208) 232-2408
Type: Mailing
500 S 11TH AVE STE 204
POCATELLO, ID 832014878
Phone: (208) 232-3655
Type: Location
1000 Lincoln St
Suite 203
Fort Morgan, CO 807013290
Phone: (970) 542-0390
Fax: (970) 542-0394
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $326.
Total Amount is formed as General ($326) + Research ($0) + Ownership ($0) = $326.
Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Astellas Pharma US Inc ($118).
Total Amount
$326
General + Research + Ownership
Payments
13
Total payment records
General Amount
$326
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $118 |
| COLOPLAST CORP | $66 |
| Ethicon US, LLC | $42 |
| Myriad Women's Health, Inc. | $33 |
| Biogen, Inc. | $24 |
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: 2020-06-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160914001787 | I | Obstetrics/Gynecology | CO | TBD |
| I20200609000968 | I | Obstetrics/Gynecology | ID | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | ID | |
| - | MO | |
| Physician Assistant | ID | |
| - | ID | |
| Emergency Medicine | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OK | |
| - | ID | |
| Family Practice | OK | |
| - | WA | |
| Orthopedic Surgery | ID |
Reviews
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