WILLIAM L JR. BLACK (M.D.) – Pediatrics Physician, NPI 1609800598
Pediatrics Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
3,517 INTERNAL MEDICINE in IN
Provider Addresses for WILLIAM L JR. BLACK (M.D.)
1485 Chester Blvd
Richmond, IN 473741919
Phone: (765) 966-5527
Fax: (765) 966-5527
Type: Location
Reid Health, 1100, Reid Parkway, Richmond, Wayne County, Indiana, 47374, United States
MEDICAL STAFF SERVICES
RICHMOND, IN 473741157
Phone: (765) 966-5527
Fax: (765) 966-5528
Type: Mailing
1485, Chester Boulevard, Spring Grove Heights, Spring Grove, Wayne County, Indiana, 47374, United States
RICHMOND, IN 473741919
Phone: (765) 966-5527
Fax: (765) 966-5527
Type: Location
PO BOX 637764
CINCINNATI, OH 452637764
Phone: (317) 880-3939
Type: Mailing
6002 E 38TH ST
INDIANAPOLIS, IN 462265614
Phone: (317) 880-6002
Fax: (317) 880-0417
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $103.
Total Amount is formed as General ($103) + Research ($0) + Ownership ($0) = $103.
Last reported payment date: 2023-02-24 • Largest payer in this snapshot: Boston Scientific Corporation ($103).
Total Amount
$103
General + Research + Ownership
Payments
1
Total payment records
General Amount
$103
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $103 |
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: 2009-01-29
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 |
|---|---|---|---|---|
| I20090129000293 | I | Internal Medicine | IN | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 920 | 717 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 290 | 165 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 193 | 144 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 155 | 155 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 84 | 66 | $0 |
Insurance plans in this area (ZIP 47374)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| - | IN | |
| - | IN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.