BRADFORD T BLACK (MD) – Orthopaedic Surgery Physician, NPI 1710912951
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
384 ORTHOPEDIC SURGERY in OR
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Provider Addresses for BRADFORD T BLACK (MD)
1508, Division Street, Oregon City, Metro, Clackamas County, Oregon, 97045, United States
SUITE 105
OREGON CITY, OR 970451582
Phone: (503) 656-0836
Fax: (503) 656-9464
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 6 Open Payments records for all available years, with a total value of $1,640.
Total Amount is formed as General ($1,640) + Research ($0) + Ownership ($0) = $1,640.
Last reported payment date: 2023-12-24 • Largest payer in this snapshot: ACUMED LLC ($1,225).
Total Amount
$1,640
General + Research + Ownership
Payments
6
Total payment records
General Amount
$1,640
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ACUMED LLC | $1,225 |
| STEELHEAD SURGICAL INC | $267 |
| Arthrex, Inc. | $108 |
| Abbott Laboratories | $24 |
| Smith+Nephew, Inc. | $16 |
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: 2011-04-27
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 |
|---|---|---|---|---|
| I20110427000645 | I | Orthopedic Surgery | 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 |
|---|---|---|---|---|
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 2,400 | 28 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 147 | 107 | $0 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 95 | 67 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 87 | 72 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 62 | 53 | $0 |
Insurance plans in this area (ZIP 97045)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | OR | 73562 | X-ray of knee, 3 views | 68 | 58 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery, Sports Medicine | OR | |
| Orthopedic Surgery | MO | |
| Physician Assistant | OR | |
| Hand Surgery, Orthopedic Surgery | OR | |
| Physician Assistant | OR | |
| Physician Assistant | TX | |
| Physician Assistant | OR | |
| Occupational Therapist In Private Practice | OR | |
| Physician Assistant | OR | |
| Physician Assistant | OR |
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