MOLLY DIANNE BLACK (MD) – Orthopaedic Surgery Physician, NPI 1932214251
Orthopaedic Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
779 ORTHOPEDIC SURGERY in WA
Provider Addresses for MOLLY DIANNE BLACK (MD)
North Allen Road, Peoria, Peoria County, Illinois, 61615, United States
PEORIA, IL 616143294
Phone: (309) 691-1400
Type: Mailing
875 Swift Blvd Ste A
Richland, WA 993523513
Phone: (509) 946-1654
Fax: (509) 943-5652
Type: Location
12200 W 106th St Ste 400
Overland Park, KS 662152305
Phone: (816) 459-7500
Type: Location
875 SWIFT BLVD STE A
RICHLAND, WA 993523513
Phone: (509) 946-1654
Fax: (509) 943-5652
Type: Location
2790 CLAY EDWARDS DR STE 650
KANSAS CITY, MO 641163279
Phone: (816) 459-7500
Type: Mailing
550 GAGE BLVD STE 101
RICHLAND, WA 993529532
Phone: (509) 473-0637
Fax: (509) 627-2983
Type: Mailing
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 $1,195.
Total Amount is formed as General ($1,195) + Research ($0) + Ownership ($0) = $1,195.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Stryker Corporation ($938).
Total Amount
$1,195
General + Research + Ownership
Payments
37
Total payment records
General Amount
$1,195
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $938 |
| SI-BONE, INC. | $121 |
| Bioventus LLC | $45 |
| Acera Surgical, Inc. | $45 |
| Kerecis Limited | $27 |
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: 2024-08-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20100921000614 | I | Orthopedic Surgery | KS | TBD |
| I20210812000878 | I | Orthopedic Surgery | MO | TBD |
| I20240828001548 | I | Orthopedic Surgery | WA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 50 | 35 | $0 |
| 73610 | X-ray of ankle, minimum of 3 views | 46 | 24 | $0 |
| 73560 | X-ray of knee, 1-2 views | 45 | 28 | $0 |
| 73552 | X-ray of thigh bone, minimum 2 views | 44 | 23 | $0 |
| 73502 | X-ray of hip, 2-3 views | 39 | 31 | $0 |
Insurance plans in this area (ZIP 61614)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KS | |
| Orthopedic Surgery | MO | |
| Orthopedic Surgery | MO | |
| Orthopedic Surgery | MO | |
| Orthopedic Surgery | MO | |
| Orthopedic Surgery | MO | |
| Orthopedic Surgery | MO | |
| Physician Assistant | MO | |
| Orthopedic Surgery | MO | |
| Orthopedic Surgery | KS |
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