CATHERINE C BLACK (PA-C) – Physician Assistant, NPI 1780613018

CATHERINE C BLACK (PA-C) is a healthcare provider. based in Clarkston, Washington. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA159129 (OR). The NPI Number for CATHERINE C BLACK (PA-C) is 1780613018

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
CATHERINE C BLACK (PA-C)
NPI
1780613018
Phone
(509) 455-8820
Address
808 Port Dr
Enumeration Date
30 June 2006
Last Update Date
21 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5206945437
Graduation Year
2003 (23 years ago)
PAC ID
0840241618
Group Practice PAC ID
7719899871
Professional Enrollment ID
I20180718003604
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience90
Completeness75
Years active:19State licenses:3Digital endpointsOther names

Provider Addresses for CATHERINE C BLACK (PA-C)

  • 808 Port Dr

    Clarkston, WA 994036009

    Phone: (509) 455-8820

    Fax: (509) 838-4978

    Type: Location

  • Banner University Medical Center Tucson, 1501, North Campbell Avenue, North University, Tucson, Pima County, Arizona, 85724, United States

    TUCSON, AZ 85724

    Phone: (541) 280-2493

    Fax: (520) 626-4008

    Type: Mailing

  • PO BOX 331

    LIBERTY LAKE, WA 990190331

    Phone: (866) 747-2455

    Fax: (509) 944-9644

    Type: Mailing

  • 212 E CENTRAL AVE STE 240

    SPOKANE, WA 992086597

    Phone: (509) 455-8820

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $49.

Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.

Last reported payment date: 2024-08-23 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($49).

Total Amount

$49

General + Research + Ownership

Payments

1

Total payment records

General Amount

$49

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-23

Latest reported date

Top Companies

Largest payers in this snapshot

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report130119$0
99214Established patient office or other outpatient visit, 30-39 minutes117106$0
99213Established patient office or other outpatient visit, 20-29 minutes6965$0
99204New patient office or other outpatient visit, 45-59 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 99403)

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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: 7719899871View full group profile
NameSpecialtyState
Diagnostic RadiologyFL
-AZ
O B S T E T R I C S/ G Y N E C O L O G YCA
Clinical PsychologistAZ
O P H T H A L M O L O G YMN
N E U R O S U R G E R YAZ
Internal MedicineAZ
-MI
Emergency MedicineAZ
Nurse PractitionerAZ

Reviews

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Frequently asked questions

How do I look up CATHERINE C BLACK (PA-C) by NPI?
Use NPI 1780613018 when you need to reference CATHERINE C BLACK (PA-C) in forms, claims, or directories.
Is CATHERINE C BLACK (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is CATHERINE C BLACK (PA-C)?
The page reflects Physician Assistant for CATHERINE C BLACK (PA-C). Clinical services aligned with this taxonomy classification.
What location shows for CATHERINE C BLACK (PA-C)?
We surface Clarkston, Washington for CATHERINE C BLACK (PA-C) based on available NPPES addresses.
How can I contact CATHERINE C BLACK (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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