DR. GLENN RAYMOND BLACK (M.D.) – Cardiovascular Disease Physician, NPI 1700860970

DR. GLENN RAYMOND BLACK (M.D.) is a healthcare provider. based in Barberton, Ohio. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 35.036808 (OH). The NPI Number for DR. GLENN RAYMOND BLACK (M.D.) is 1700860970

Main info

Male
Sole Proprietor
53 Years Of Experience
Accepts Medicare Assignment
Name
DR. GLENN RAYMOND BLACK (M.D.)
NPI
1700860970
Phone
(330) 753-5863
Address
103 5TH ST SE
Enumeration Date
1 December 2005
Last Update Date
2 April 2024

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
3307535863
Graduation Year
1973 (53 years ago)
PAC ID
4183740640
Professional Enrollment ID
I20100922000535
Address ID
OH442034256BA103XXSEXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,508 CARDIOVASCULAR DISEASE (CARDIOLOGY) in OH

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Provider Addresses for DR. GLENN RAYMOND BLACK (M.D.)

  • 5th Street Southeast, Austin Estates, Barberton, Summit County, Ohio, 44203, United States

    STE S

    BARBERTON, OH 442034256

    Phone: (330) 753-5863

    Fax: (330) 753-9838

    Type: Location

  • 586 MARINA DR

    AKRON, OH 443193424

    Phone: (330) 645-6809

    Type: Mailing

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 $113.

Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($44).

Total Amount

$113

General + Research + Ownership

Payments

8

Total payment records

General Amount

$113

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2010-09-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100922000535ICardiovascular Disease (Cardiology)OHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes300144$0
99214Established patient office or other outpatient visit, 30-39 minutes15474$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1614$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
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Insurance plans in this area (ZIP 44203)

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Provider's Procedures

DR. GLENN RAYMOND BLACK (M.D.) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)OH85610Blood test, clotting time8322
CARDIOVASCULAR DISEASE (CARDIOLOGY)OH93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report1613

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. GLENN RAYMOND BLACK (M.D.)?
DR. GLENN RAYMOND BLACK (M.D.) — NPI 1700860970 — is the standard way to identify this listing.
Is DR. GLENN RAYMOND BLACK (M.D.) still practicing?
DR. GLENN RAYMOND BLACK (M.D.) is currently listed as active in the public NPI registry.
What is DR. GLENN RAYMOND BLACK (M.D.)'s specialty?
The listing groups DR. GLENN RAYMOND BLACK (M.D.) with Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Where is DR. GLENN RAYMOND BLACK (M.D.) based?
DR. GLENN RAYMOND BLACK (M.D.) is tied to Barberton, Ohio in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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