SCOTT BAYLES BLACK (MD) – Family Medicine Physician, NPI 1811257462

SCOTT BAYLES BLACK (MD) is a healthcare provider. based in La pine, Oregon. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 8699736-1205 (UT). The NPI Number for SCOTT BAYLES BLACK (MD) is 1811257462

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT BAYLES BLACK (MD)
NPI
1811257462
Phone
(541) 536-3435
Address
51600 HUNTINGTON RD
Enumeration Date
16 May 2012
Last Update Date
28 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8014922380
Graduation Year
2012 (14 years ago)
PAC ID
6103053707
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20131205000534
Address ID
UT840032940AM98XXX1100302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

2,081 FAMILY PRACTICE in OR

Provider Addresses for SCOTT BAYLES BLACK (MD)

  • 51600 HUNTINGTON RD

    LA PINE, OR 977398887

    Phone: (541) 536-3435

    Type: Location

  • PO BOX 3300

    LA PINE, OR 977393300

    Phone: (541) 536-3435

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $3.

Total Amount is formed as General ($3) + Research ($0) + Ownership ($0) = $3.

Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Organon LLC ($3).

Total Amount

$3

General + Research + Ownership

Payments

1

Total payment records

General Amount

$3

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organon LLC$3
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: 2013-12-05

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
I20131205000534IFamily PracticeUTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes6640$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2626$0
99213Established patient office or other outpatient visit, 20-29 minutes2522$0
View full utilization report →

Insurance plans in this area (ZIP 97739)

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Provider's Procedures

SCOTT BAYLES BLACK (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEOR83036Hemoglobin A1C level5139

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: 1850209420View full group profile

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does SCOTT BAYLES BLACK (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SCOTT BAYLES BLACK (MD) uses 1811257462.
Is SCOTT BAYLES BLACK (MD) listed as active for patients and plans?
The listing shows SCOTT BAYLES BLACK (MD) as active in the NPI system.
What is SCOTT BAYLES BLACK (MD)'s specialty?
The listing groups SCOTT BAYLES BLACK (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect SCOTT BAYLES BLACK (MD) on a map?
Expect La Pine, Oregon as a primary anchor for SCOTT BAYLES BLACK (MD) unless the record lists multiple sites.
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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