SARAH A BLACK (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1376995829
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SARAH A BLACK (PHYSICIAN ASSISTANT)
1250 8TH AVE STE 265
FORT WORTH, TX 761044124
Phone: (682) 200-8580
Fax: (682) 200-8581
Type: Location
1250, 8th Avenue, Fort Worth, Tarrant County, Texas, 76104, United States
SUITE 575
FORT WORTH, TX 761044124
Phone: (682) 200-8580
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $203.
Total Amount is formed as General ($203) + Research ($0) + Ownership ($0) = $203.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Davol Inc. ($114).
Total Amount
$203
General + Research + Ownership
Payments
4
Total payment records
General Amount
$203
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Davol Inc. | $114 |
| Mentor Worldwide LLC | $36 |
| Ethicon US, LLC | $33 |
| Boston Scientific Corporation | $21 |
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: 2018-08-13
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 |
|---|---|---|---|---|
| I20180813002981 | I | Physician Assistant | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| - | TX | |
| Plastic And Reconstructive Surgery | PA | |
| O T O L A R Y N G O L O G Y | TX | |
| - | AZ | |
| Plastic And Reconstructive Surgery, Hand Surgery | TX | |
| Plastic And Reconstructive Surgery | TX | |
| Plastic And Reconstructive Surgery | TX | |
| - | OK | |
| Plastic And Reconstructive Surgery | TX |
Reviews
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