MICHAEL ANTHONY BLACK SR. P.A.-C
NPI 1003007311
Physician Assistant in Spartanburg, SC

NPI Status: Active since August 05, 2007

Contact Information

1762 E MAIN ST
SPARTANBURG, SC
ZIP 29307
Phone: (864) 591-2261

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  • Individual
  • Male
  • Years of Experience 12
  • Physician Assistant
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About MICHAEL BLACK

Michael Black is a primary care provider established in Spartanburg, South Carolina and his medical specialization is Physician Assistant with more than 12 years of experience. The healthcare provider is registered in the NPI registry with number 1003007311 assigned on August 2007. The practitioner's primary taxonomy code is 363A00000X with license number PA10004010 (WA). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI1003007311
Provider NameMICHAEL ANTHONY BLACK SR. P.A.-C
Location Address1762 E MAIN ST SPARTANBURG, SC 29307
Location Phone(864) 591-2261
Mailing Address1818 HENDERSON ST COLUMBIA, SC 29201
GenderMale
Entity TypeIndividual
Medical School NameOTHER
Graduation Year2012
Is Sole Proprietor?No
Enumeration Date08-05-2007
Last Update Date02-02-2021
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A primary care provider (PCP) like Michael Black sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Michael Black is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.4 for a new patient copayment and $17.43 for an established patient copayment.

Location Map

Mailing Address

1818 HENDERSON ST
COLUMBIA, SC
ZIP 29201
Phone: (803) 782-4278


Secondary Locations

  • 3600 Darnall Loop Carl R. Darnall Army Medical Center
    Ft Hood, TX 76544
    (254) 286-7927

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code363A00000X
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.PA10004010
License StateWA
Taxonomy DescriptionA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

PECOS Enrollment and Medicare Participation Status

Michael Black is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9234543505

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20210127002395

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 29307 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.63
  • Minimum New Patient Price $55.43
  • Maximum New Patient Price $169.76
  • Average New Patient Copayment $21.4
  • Minimum New Patient Copayment $13.85
  • Maximum New Patient Copayment $42.44

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $69.73
  • Minimum Established Patient Price $17.06
  • Maximum Established Patient Price $138.69
  • Average Established Patient Copayment $17.43
  • Minimum Established Patient Copayment $4.26
  • Maximum Established Patient Copayment $34.67

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for MICHAEL ANTHONY BLACK SR. P.A.-C

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003007311
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003001432
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 1 + 4 + 3 + 2 + 24 = 39
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 39 = 11

The NPI number 1003007311 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457686461 ELIZABETH STORCH PT
Individual
Physical Therapist1762 E MAIN ST
SPARTANBURG, SC 29307
(864) 573-5075
1184963019PROGRESSIVE PHYSICAL THERAPY, PA
Organization
Physical Therapist1762 E MAIN ST
SPARTANBURG, SC 29307
(843) 573-5075
1346580784MS. SUSAN GAIL MCWILLIAM BN MS APRN FNP-BC
Individual
Nurse Practitioner (Family)1762 E MAIN ST
SPARTANBURG, SC 29307
(864) 591-2261
1275688772 CECILIA S. CANNON P.A.
Individual
Physician Assistant1762 E MAIN ST
SPARTANBURG, SC 29307
(864) 591-2261
1972842862DOCTORS CARE SC, PA
Organization
Family Medicine1762 E MAIN ST
SPARTANBURG, SC 29307
(864) 591-2261
1760137863 ELLA MARGARET SCHOFIELD
Individual
Nurse Practitioner (Family)1762 E MAIN ST
SPARTANBURG, SC 29307
(864) 591-2261
1780451153 CAYLEY MICHELLE STONE PA-C
Individual
Physician Assistant1762 E MAIN ST
SPARTANBURG, SC 29307
(864) 591-2261

Frequently Asked Questions

What is Michael Black SR. P.A.-C NPI number?

The NPI number assigned to this healthcare provider is 1003007311, enumerated in the NPI registry as an "individual" on August 05, 2007

Where is the provider located?

The provider is located at 1762 E Main St Spartanburg, Sc 29307 and the phone number is (864) 591-2261

What is the provider specialty code?

The provider's speciality is Physician Assistant with taxonomy code 363A00000X

How many years of experience does Michael Black SR. P.A.-C have?

The provider has more than 12 years of experience.

Is Michael Black SR. P.A.-C registered in PECOS?

Yes, as of February 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Michael Black SR. P.A.-C?

Medicare beneficiaries should expect a typical cost of $85.63 with an average copayment of $21.4 for new patient appointments. Established patients should expect a typical charge of $69.73 and an average copayment of 17.43. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

This NPI record was last updated on August 05, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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