ROBERT LEE III BLACK (PA-C) – Medical Physician Assistant, NPI 1861985657

ROBERT LEE III BLACK (PA-C) is a healthcare provider. based in Meadville, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for ROBERT LEE III BLACK (PA-C) is 1861985657

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT LEE III BLACK (PA-C)
NPI
1861985657
Phone
(814) 373-5255
Address
640 ALDEN ST
Enumeration Date
7 June 2018
Last Update Date
1 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7246627202
Graduation Year
2018 (8 years ago)
PAC ID
9931459641
Group Practice PAC ID
4486628450
Professional Enrollment ID
I20180830000330
Address ID
PA161371129ME456XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:8State licenses:0Digital endpointsOther names

9,689 PHYSICIAN ASSISTANT in PA

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Provider Addresses for ROBERT LEE III BLACK (PA-C)

  • 640, Alden Street, Neason Hill, Meadville, Crawford County, Pennsylvania, 16335, United States

    MEADVILLE, PA 163352348

    Phone: (814) 373-5255

    Fax: (814) 373-5259

    Type: Location

  • 18201 Conneaut Lake Rd

    Meadville, PA 163353757

    Phone: (814) 333-5061

    Fax: (814) 333-5067

    Type: Location

  • 406 W Oak St

    Titusville, PA 163541499

    Phone: (814) 827-9770

    Type: Location

  • Meadville Medical Center Grove Street, 1034, Grove Street, Neason Hill, Meadville, Crawford County, Pennsylvania, 16335, United States

    MEADVILLE, PA 163352945

    Phone: (814) 373-5266

    Fax: (814) 373-5269

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $1,136.

Total Amount is formed as General ($1,136) + Research ($0) + Ownership ($0) = $1,136.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($414).

Total Amount

$1,136

General + Research + Ownership

Payments

44

Total payment records

General Amount

$1,136

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2018-08-30

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180830000330IPhysician AssistantPATBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2911$0
99214Established patient office or other outpatient visit, 30-39 minutes2012$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2016$0
99215Established patient office or other outpatient visit, 40-54 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 16335)

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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: 4486628450View full group profile
NameSpecialtyState
Mental Health CounselorPA
-PA
P S Y C H I A T R YPA
Mental Health CounselorPA
Mental Health CounselorPA
Mental Health CounselorVT
Mental Health CounselorPA
Mental Health CounselorPA
-PA
Mental Health CounselorPA

Reviews

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Frequently asked questions

What is the registry number for ROBERT LEE III BLACK (PA-C)?
The registry entry for ROBERT LEE III BLACK (PA-C) shows NPI 1861985657.
Quick check: is ROBERT LEE III BLACK (PA-C) active?
Public NPPES data shows ROBERT LEE III BLACK (PA-C) with an active NPI status right now.
What services align with ROBERT LEE III BLACK (PA-C)'s listing?
ROBERT LEE III BLACK (PA-C)'s public classification highlights Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is ROBERT LEE III BLACK (PA-C) tied to Meadville, Pennsylvania?
If you are local to Meadville, Pennsylvania, ROBERT LEE III BLACK (PA-C) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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