DR. KEVIN J BLACK (MD) – Psychiatry Physician, NPI 1558389007
Psychiatry Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
819 PSYCHIATRY in MO
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Provider Addresses for DR. KEVIN J BLACK (MD)
4511 FOREST PARK AVE
STE 4300
SAINT LOUIS, MO 631082138
Phone: (314) 286-1700
Fax: (314) 408-2756
Type: Mailing
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (314) 286-1700
Fax: (314) 970-9094
Type: Mailing
660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States
CB 8134
SAINT LOUIS, MO 631101010
Phone: (314) 286-1700
Fax: (314) 286-1777
Type: Mailing
517, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States
DEPT PSYCHIATRY
SAINT LOUIS, MO 631101007
Phone: (314) 286-1700
Fax: (314) 970-9094
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $13,681.
Total Amount is formed as General ($13,681) + Research ($0) + Ownership ($0) = $13,681.
Last reported payment date: 2024-08-15 • Largest payer in this snapshot: H. Lundbeck A S ($9,000).
Total Amount
$13,681
General + Research + Ownership
Payments
4
Total payment records
General Amount
$13,681
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| H. Lundbeck A S | $9,000 |
| Eisai Inc. | $4,500 |
| Abbott Laboratories | $181 |
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: 2006-02-22
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 |
|---|---|---|---|---|
| I20060222000086 | I | Psychiatry | MO | 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 63108)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| - | MO | |
| - | FL | |
| - | MO | |
| Diagnostic Radiology | IL | |
| - | IL | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO |
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