ELIZABETH LEFFT BLACK (MD) – Family Medicine Physician, NPI 1578556833
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
969 FAMILY PRACTICE in ID
Provider Addresses for ELIZABETH LEFFT BLACK (MD)
Rialto Boulevard, Austin, Travis County, Texas, 78735, United States
AUSTIN, TX 787358534
Phone: (512) 730-3056
Fax: (888) 730-1925
Type: Mailing
415 6th St
Lewiston, ID 83501
Phone: (512) 730-3056
Fax: (888) 730-1925
Type: Location
1271 Highland Ave Ste B
Clarkston, WA 994032846
Phone: (509) 751-5500
Fax: (509) 751-1059
Type: Location
Saint Joseph's Regional Medical Center, 415, 6th Street, Lewiston, Nez Perce County, Idaho, 83501, United States
LEWISTON, ID 83501
Phone: (512) 730-3056
Fax: (888) 730-1925
Type: Location
1271 HIGHLAND AVE STE B
CLARKSTON, WA 994032846
Phone: (509) 751-5500
Fax: (509) 751-1059
Type: Mailing
1268 BRIDGE ST
CLARKSTON, WA 994032219
Phone: (509) 751-5500
Fax: (509) 751-1059
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $53.
Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($53).
Total Amount
$53
General + Research + Ownership
Payments
2
Total payment records
General Amount
$53
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $53 |
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: 2018-10-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20051012000238 | I | Family Practice | WA | TBD |
| I20181022002599 | I | Family Practice | ID | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 358 | 203 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 326 | 195 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 246 | 172 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 225 | 132 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 221 | 221 | $0 |
Insurance plans in this area (ZIP 78735)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | WA | 83036 | Hemoglobin A1C level | 140 | 78 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ID |
Reviews
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