MICHAEL R BLACK (M.D.) – Family Medicine Physician, NPI 1588892194
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,431 FAMILY PRACTICE in OH
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Provider Addresses for MICHAEL R BLACK (M.D.)
90 JACKSON PIKE
GALLIPOLIS, OH 456311560
Phone: (740) 441-5749
Fax: (740) 446-5153
Type: Mailing
98, State Street, Sunny Acres, Proctorville, Lawrence County, Ohio, 45669, United States
PROCTORVILLE, OH 456698163
Phone: (740) 886-9403
Fax: (740) 446-5153
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 71 Open Payments records for all available years, with a total value of $1,216.
Total Amount is formed as General ($1,216) + Research ($0) + Ownership ($0) = $1,216.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($218).
Total Amount
$1,216
General + Research + Ownership
Payments
71
Total payment records
General Amount
$1,216
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2012-07-20
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 |
|---|---|---|---|---|
| I20120720000026 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 722 | 263 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 187 | 187 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 144 | 102 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 125 | 25 | $0 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 116 | 20 | $0 |
Insurance plans in this area (ZIP 45631)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | OH | 20610 | Aspiration and/or injection of large joint or joint capsule | 18 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y/ O N C O L O G Y | KY | |
| - | OH | |
| Internal Medicine | WV | |
| Internal Medicine | OH | |
| - | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Family Practice | OH | |
| Nurse Practitioner | OH | |
| - | OH |
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