DR. RYAN DUANE BLACK (D.O.) – Otolaryngology Physician, NPI 1619024544

DR. RYAN DUANE BLACK (D.O.) is a healthcare provider. based in Yakima, Washington. specializing in OTOLARYNGOLOGY. They hold the professional credentials D.O.. They hold a License No. 14427A (WY). The NPI Number for DR. RYAN DUANE BLACK (D.O.) is 1619024544

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. RYAN DUANE BLACK (D.O.)
NPI
1619024544
Phone
(509) 575-1000
Address
3800 SUMMITVIEW AVE
Enumeration Date
4 January 2007
Last Update Date
18 March 2025

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
3073879850
Graduation Year
2004 (22 years ago)
PAC ID
2567472939
Group Practice PAC ID
1153706346
Professional Enrollment ID
I20230222001084
Address ID
WY827189330GI469XX50XX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

321 OTOLARYNGOLOGY in WA

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Provider Addresses for DR. RYAN DUANE BLACK (D.O.)

  • 3800, Summitview Avenue, Yakima, Yakima County, Washington, 98902, United States

    YAKIMA, WA 989022715

    Phone: (509) 575-1000

    Type: Mailing

  • 1601, Creekside Loop, Yakima, Yakima County, Washington, 98902, United States

    YAKIMA, WA 989024882

    Phone: (509) 575-1000

    Fax: (509) 225-2703

    Type: Location

  • 201 W LAKEWAY RD STE 1004

    GILLETTE, WY 827186349

    Phone: (307) 387-9850

    Fax: (307) 387-9890

    Type: Mailing

  • 469 HIGHWAY 50

    GILLETTE, WY 827189330

    Phone: (307) 387-9850

    Fax: (307) 387-9890

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $351.

Total Amount is formed as General ($351) + Research ($0) + Ownership ($0) = $351.

Last reported payment date: 2024-12-07 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($255).

Total Amount

$351

General + Research + Ownership

Payments

12

Total payment records

General Amount

$351

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-07

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: 2024-12-12

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230222001084IOtolaryngologyWYTBD
I20241212001543IOtolaryngologySDTBD

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
99203New patient office or other outpatient visit, 30-44 minutes195195$0
99213Established patient office or other outpatient visit, 20-29 minutes9257$0
99214Established patient office or other outpatient visit, 30-39 minutes7658$0
31575Diagnostic exam of voice box using a flexible endoscope4643$0
69210Removal of impacted ear wax2220$0
View full utilization report →

Insurance plans in this area (ZIP 98902)

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Provider's Procedures

DR. RYAN DUANE BLACK (D.O.) performs procedures in OTOLARYNGOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYWA95117Injection of incremental dosages of allergen, 2 or more injections23630

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: 1153706346View full group profile
NameSpecialtyState
Internal Medicine, Endocrinology, Internal MedicineTX
Emergency MedicineCO
General SurgeryMA
Family PracticeWY
P S Y C H I A T R YWA
D E R M A T O L O G YVT
Registered Dietitian Or Nutrition ProfessionalWY
N E U R O L O G YNE
Internal MedicineCO
Family Practice, Geriatric MedicineWY

Reviews

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Frequently asked questions

Can I cross-check DR. RYAN DUANE BLACK (D.O.) using NPI 1619024544?
NPI 1619024544 belongs to DR. RYAN DUANE BLACK (D.O.); compare other details if you need extra assurance.
Active or inactive — what applies to DR. RYAN DUANE BLACK (D.O.)?
You should see DR. RYAN DUANE BLACK (D.O.) as active in CMS-hosted NPPES data.
What kind of doctor is DR. RYAN DUANE BLACK (D.O.)?
DR. RYAN DUANE BLACK (D.O.) is associated with Otolaryngology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. RYAN DUANE BLACK (D.O.)?
Directory geography for DR. RYAN DUANE BLACK (D.O.) centers on Yakima, Washington.
Can I trust this NPI listing for DR. RYAN DUANE BLACK (D.O.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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