JOSEPH M BLACK (M D) – Gastroenterology Physician, NPI 1578524377
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
252 GASTROENTEROLOGY in OR
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Provider Addresses for JOSEPH M BLACK (M D)
Northwest Edenbower Boulevard, Roseburg, Douglas County, Oregon, 97470, United States
SUITE 100
ROSEBURG, OR 974718829
Phone: (541) 580-5328
Fax: (541) 727-5360
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.
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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: 2004-09-30
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 |
|---|---|---|---|---|
| I20040930000988 | I | Gastroenterology | OR | 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 |
|---|---|---|---|---|
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 126 | 122 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 99 | 99 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 81 | 62 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 80 | 80 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 75 | 75 | $0 |
Insurance plans in this area (ZIP 97471)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | OR | 45385 | Removal of polyps or growths of large bowel using an endoscope | 11 | 11 |
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