DR. MICHAEL LANE BLACK (M.D.) – Family Medicine Physician, NPI 1497730857
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 FAMILY PRACTICE in OH
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Provider Addresses for DR. MICHAEL LANE BLACK (M.D.)
6615, Clingan Road, Frontier Plat, Poland Township, Mahoning County, Ohio, 44514, United States
SUITE A
POLAND, OH 445144202
Phone: (330) 707-1425
Fax: (330) 757-2814
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 133 Open Payments records for all available years, with a total value of $2,323.
Total Amount is formed as General ($2,323) + Research ($0) + Ownership ($0) = $2,323.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($355).
Total Amount
$2,323
General + Research + Ownership
Payments
133
Total payment records
General Amount
$2,323
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $355 |
| ABBVIE INC. | $249 |
| Corium, LLC | $192 |
| Merck Sharp & Dohme LLC | $169 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $81 |
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: 2006-12-05
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 |
|---|---|---|---|---|
| I20061205000081 | I | Family Practice | OH | 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 | 456 | 274 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 451 | 230 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 412 | 217 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 220 | 38 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 152 | 152 | $0 |
Insurance plans in this area (ZIP 44514)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Emergency Medicine | PA | |
| Family Practice | PA | |
| Family Practice | PA | |
| Medical Oncology, Hematology | NM | |
| Orthopedic Surgery | MA | |
| Family Practice | PA | |
| Physician Assistant | PA | |
| Family Practice | PA | |
| Family Practice | PA | |
| Family Practice, Emergency Medicine, Neurology, Pain Management | PA |
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