DR. EVAN H BLACK (MD) – Ophthalmology Physician, NPI 1932185089

DR. EVAN H BLACK (MD) is a healthcare provider. based in Southfield, Michigan. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 4301071533 (MI). The NPI Number for DR. EVAN H BLACK (MD) is 1932185089

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. EVAN H BLACK (MD)
NPI
1932185089
Phone
(248) 357-5100
Address
29201 Telegraph Rd Ste 324
Enumeration Date
21 December 2005
Last Update Date
5 June 2025

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Secondary Phone
2488985000
Graduation Year
1994 (32 years ago)
PAC ID
8729035720
Group Practice PAC ID
4486637006
Professional Enrollment ID
I20050401000370
Address ID
MI480736712RO3601XRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

844 OPHTHALMOLOGY in MI

Provider Addresses for DR. EVAN H BLACK (MD)

  • 29201 Telegraph Rd Ste 324

    Southfield, MI 480347646

    Phone: (248) 357-5100

    Fax: (248) 746-0683

    Type: Location

  • 1560, East Maple Road, Troy, Oakland County, Michigan, 48083, United States

    SUITE 400-CREDENTIALING

    TROY, MI 480831138

    Phone: (313) 577-8900

    Fax: (313) 577-0700

    Type: Mailing

  • Kresge Eye Institute, 4717, Saint Antoine Street, Medical Center, Midtown, Detroit, Wayne County, Michigan, 48201, United States

    KRESGE EYE INSTITUTE

    DETROIT, MI 482011423

    Phone: (313) 577-8900

    Fax: (313) 577-0700

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $508.

Total Amount is formed as General ($508) + Research ($0) + Ownership ($0) = $508.

Last reported payment date: 2024-08-19 • Largest payer in this snapshot: Alcon Vision LLC ($162).

Total Amount

$508

General + Research + Ownership

Payments

8

Total payment records

General Amount

$508

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-19

Latest reported date

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: 2005-04-01

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
I20050401000370IOphthalmologyMITBD

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
J0585Injection, onabotulinumtoxina, 1 unit6,20021$0
83861Microfluid analysis of tears474236$0
99204New patient office or other outpatient visit, 45-59 minutes254254$0
92082Exam of visual field with intermediate testing178174$0
92285Photography of content of eyes171162$0
View full utilization report →

Insurance plans in this area (ZIP 48034)

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Provider's Procedures

DR. EVAN H BLACK (MD) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYMI14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips3837
OPHTHALMOLOGYMI92012Eye and medical examination for diagnosis and treatment, established patient260212

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: 4486637006View full group profile
NameSpecialtyState
Ophthalmology, Plastic And Reconstructive SurgeryMI
-MI
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI

Reviews

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Frequently asked questions

Can I cross-check DR. EVAN H BLACK (MD) using NPI 1932185089?
NPI 1932185089 belongs to DR. EVAN H BLACK (MD); compare other details if you need extra assurance.
Is there an active status for DR. EVAN H BLACK (MD)?
For scheduling context, DR. EVAN H BLACK (MD) is shown as active in the registry.
What expertise is attributed to DR. EVAN H BLACK (MD)?
DR. EVAN H BLACK (MD)'s specialty line reads Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. EVAN H BLACK (MD)?
Travel planning: use Southfield, Michigan as the reference point for DR. EVAN H BLACK (MD), then confirm.
When was this NPI issued?
Enumeration for DR. EVAN H BLACK (MD) is noted as December 21, 2005 where the registry provides it.

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