DR. TAMMIE ANN BLACK (DPM) – Podiatrist, NPI 1417918053

DR. TAMMIE ANN BLACK (DPM) is a healthcare provider. based in Holyoke, Massachusetts. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 2073 (MA). The NPI Number for DR. TAMMIE ANN BLACK (DPM) is 1417918053

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. TAMMIE ANN BLACK (DPM)
NPI
1417918053
Phone
(413) 540-0150
Address
PO BOX 10417
Enumeration Date
31 March 2006
Last Update Date
13 April 2018

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
4136820031
Graduation Year
1995 (31 years ago)
PAC ID
7911922349
Group Practice PAC ID
5597786996
Professional Enrollment ID
I20051013000915
Address ID
MA010951046WI1984XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

385 PODIATRY in MA

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Provider Addresses for DR. TAMMIE ANN BLACK (DPM)

  • PO BOX 10417

    HOLYOKE, MA 010412017

    Phone: (413) 540-0150

    Fax: (413) 540-0159

    Type: Mailing

  • Willimansett Street, South Hadley, Massachusetts, 01075, United States

    SOUTH HADLEY, MA 010753000

    Phone: (413) 536-0912

    Fax: (413) 538-6760

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2024-01-31 • Largest payer in this snapshot: Medtronic, Inc. ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-31

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$25
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: 2005-10-13

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
I20051013000915IPodiatryMATBD

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
11721Removal of fingernails or toenails, 6 or more nails1,249423$0
11057Removal of noncancer thickened skin growth, more than 4 growths500159$0
99213Established patient office or other outpatient visit, 20-29 minutes484352$0
99214Established patient office or other outpatient visit, 30-39 minutes476354$0
11730Simple separation of fingernail or toenail from nail bed, first nail337283$0
View full utilization report →

Insurance plans in this area (ZIP 01041)

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Provider's Procedures

DR. TAMMIE ANN BLACK (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYMA11042Removal of skin and tissue first 20 sq cm or less5026
PODIATRYMA11056Removal of 2 to 4 thickened skin growths513193

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: 5597786996View full group profile
NameSpecialtyState
-MA
P O D I A T R YMA
P O D I A T R YMA
P O D I A T R YMA
P O D I A T R YMA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. TAMMIE ANN BLACK (DPM)'s NPI?
Yes. DR. TAMMIE ANN BLACK (DPM) is listed with NPI 1417918053 in the public NPI dataset.
Is DR. TAMMIE ANN BLACK (DPM) listed as active for patients and plans?
The listing shows DR. TAMMIE ANN BLACK (DPM) as active in the NPI system.
What is DR. TAMMIE ANN BLACK (DPM)'s primary classification?
Podiatrist is the headline specialty for DR. TAMMIE ANN BLACK (DPM) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. TAMMIE ANN BLACK (DPM)?
DR. TAMMIE ANN BLACK (DPM)'s geographic hint is Holyoke, Massachusetts in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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