DR. DEREK ROBERT BLACK (D.C.) – Chiropractor, NPI 1881781490

DR. DEREK ROBERT BLACK (D.C.) is a healthcare provider. based in Beavercreek, Ohio. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 2227 (OH). The NPI Number for DR. DEREK ROBERT BLACK (D.C.) is 1881781490

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEREK ROBERT BLACK (D.C.)
NPI
1881781490
Phone
(937) 427-2225
Address
3060 DAYTON XENIA RD
Enumeration Date
6 October 2006
Last Update Date
24 October 2022

Doctor Profile

Medical School Name
LOS ANGELES COLLEGE OF CHIROPRACTIC
Secondary Phone
9374272225
Graduation Year
1994 (32 years ago)
PAC ID
2163406216
Group Practice PAC ID
0547536187
Professional Enrollment ID
I20120404000722
Address ID
OH454346393BE3060XRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,413 CHIROPRACTIC in OH

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Provider Addresses for DR. DEREK ROBERT BLACK (D.C.)

  • 3060, Dayton-Xenia Road, Zimmerman, Beavercreek, Greene County, Ohio, 45434, United States

    SUITE A

    BEAVERCREEK, OH 454346308

    Phone: (937) 427-2225

    Fax: (937) 431-1722

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-04-04

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
I20120404000722IChiropracticOHTBD

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
98940Chiropractic manipulative treatment, 1-2 spinal regions596109$0
98941Chiropractic manipulative treatment, 3-4 spinal regions34652$0
View full utilization report →

Insurance plans in this area (ZIP 45434)

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Provider's Procedures

DR. DEREK ROBERT BLACK (D.C.) performs procedures in CHIROPRACTIC. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CHIROPRACTICOH98940Chiropractic manipulative treatment, 1-2 spinal regions857101

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: 0547536187View full group profile
NameSpecialtyState
C H I R O P R A C T I COH
Physical Therapist In Private PracticeOH
C H I R O P R A C T I COH
Nurse PractitionerOH
-OH
-OH

Reviews

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Frequently asked questions

What NPI should I save for DR. DEREK ROBERT BLACK (D.C.)?
Save NPI 1881781490 if you need a stable reference for DR. DEREK ROBERT BLACK (D.C.).
Does this profile mean DR. DEREK ROBERT BLACK (D.C.) is currently active?
Yes — DR. DEREK ROBERT BLACK (D.C.) appears active in the national provider directory.
What kind of provider is DR. DEREK ROBERT BLACK (D.C.)?
The page reflects Chiropractor for DR. DEREK ROBERT BLACK (D.C.). Clinical services aligned with this taxonomy classification.
What location shows for DR. DEREK ROBERT BLACK (D.C.)?
We surface Beavercreek, Ohio for DR. DEREK ROBERT BLACK (D.C.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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