JONATHAN S. BLACK (M.D.) – Plastic Surgery Physician, NPI 1548463300
Plastic Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
183 PLASTIC AND RECONSTRUCTIVE SURGERY in VA
Provider Addresses for JONATHAN S. BLACK (M.D.)
1204 W Main St
Charlottesville, VA 229032824
Phone: (434) 982-6100
Fax: (434) 982-0747
Type: Location
629 Cedar Creek Grade Ste B
Winchester, VA 226012786
Phone: (540) 678-3950
Fax: (540) 678-3950
Type: Location
70 Medical Center Cir Ste 203
Fishersville, VA 229392273
Phone: (540) 932-5571
Fax: (540) 932-5772
Type: Location
1215 Lee St
Charlottesville, VA 229083363
Phone: (434) 924-0211
Type: Location
Jefferson Park Avenue, Hereford Residential College, Charlottesville, Virginia, United States
CHARLOTTESVILLE, VA 229033363
Phone: (434) 924-5078
Fax: (434) 924-8118
Type: Location
Charlottesville Post Office, 1155, Seminole Trail, Westfield, Charlottesville, Albemarle County, Virginia, 22906, United States
CHARLOTTESVILLE, VA 229069007
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $1,810.
Total Amount is formed as General ($1,810) + Research ($0) + Ownership ($0) = $1,810.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Stryker Corporation ($1,395).
Total Amount
$1,810
General + Research + Ownership
Payments
9
Total payment records
General Amount
$1,810
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
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: 2014-10-20
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 |
|---|---|---|---|---|
| I20141020002590 | I | Plastic And Reconstructive Surgery | VA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 28 | 21 | $0 |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 22 | 21 | $0 |
| 14060 | Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less | 22 | 22 | $0 |
| 13131 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm | 16 | 15 | $0 |
| 12051 | Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less | 15 | 15 | $0 |
Insurance plans in this area (ZIP 22903)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | VA | |
| - | VA | |
| A N E S T H E S I O L O G Y | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| Nurse Practitioner | VA | |
| - | VA |
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