DR. ROBERT E BLACK III MD
NPI 1003015728
Anesthesiology in Lawrenceville, GA


Quality Rating: 61.68 out of 100 score

NPI Status: Active since July 12, 2007

Contact Information

1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 277-3056
Fax: (855) 204-5244

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  • Individual
  • Male
  • Years of Experience 17
  • Anesthesiology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About ROBERT BLACK

Robert Black is an anesthesiologist established in Lawrenceville, Georgia and his medical specialization is Anesthesiology with more than 17 years of experience. He graduated from University Of Texas Medical School At San Antonio in 2007. The healthcare provider is registered in the NPI registry with number 1003015728 assigned on July 2007. The practitioner's primary taxonomy code is 207L00000X with license number 067920 (GA). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1003015728
Provider Name
DR. ROBERT E BLACK III MD
Gender
Male
Entity Type
Individual
Location Address
1000 MEDICAL CENTER BLVD LAWRENCEVILLE, GA 30046
Location Phone
(770) 277-3056
Location Fax
(855) 204-5244
Mailing Address
PO BOX 551420 FORT LAUDERDALE, FL 33355
Mailing Phone
(800) 243-3839
Mailing Fax
(855) 204-5244
Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year
2007
Is Sole Proprietor?
Yes
Enumeration Date
07-12-2007
Last Update Date
04-02-2014
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An anesthesiologist like Robert Black manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.

Robert 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 provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 61.68, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

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

Anesthesiology

Taxonomy Code
207L00000X
Type
Allopathic & Osteopathic Physicians
License No.
067920
License State
GA
Taxonomy Description
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207L00000XAllopathic & Osteopathic Physicians

Anesthesiology

67920 (GA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • CareSource

    • CareSource Marketplace Bronze First - HMO
    • CareSource Marketplace Bronze First Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Core Gold - HMO
    • CareSource Marketplace Core Gold Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Diabetes Gold - HMO
    • CareSource Marketplace Diabetes Gold Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Diabetes Silver - HMO
    • CareSource Marketplace Diabetes Silver Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Gold - HMO
    • CareSource Marketplace Gold Dental, Vision, & Fitness - HMO
    • CareSource Marketplace HSA Eligible Bronze - HMO
    • CareSource Marketplace Low Premium Silver - HMO
    • CareSource Marketplace Low Premium Silver Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Silver - HMO
    • CareSource Marketplace Silver Dental, Vision, & Fitness - HMO
  • Cigna HealthCare of Georgia, Inc

    • Connect Bronze 0 Indiv Med Deductible - HMO
    • Connect Bronze 4500 Indiv Med Deductible Enhanced Diabetes Care - HMO
    • Connect Bronze 6500 Indiv Med Deductible - HMO
    • Connect Bronze 8500 Indiv Med Deductible - HMO
    • Connect Bronze CMS Standard - HMO
    • Connect Gold 500 Indiv Med Deductible - HMO
    • Connect Gold CMS Standard - HMO
    • Connect Silver 2700 Indiv Med Deductible Enhanced Diabetes Care - HMO
    • Connect Silver 3700 Indiv Med Deductible - HMO
    • Connect Silver 5000 Indiv Med Deductible - HMO
    • Connect Silver 7000 Indiv Med Deductible - HMO
    • Connect Silver CMS Standard - HMO
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
003126898AMEDICAID (05)GA 

PECOS Enrollment and Medicare Participation Status

Robert 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: 8123274958

    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: I20120810000445

    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

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 61.68 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 72.57

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 0

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 31

    Insertion of arterial catheter for blood sampling or infusion, accessed through the skin (HCPCS:36620)

  • 17

    Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Robert Black is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
NORTHSIDE HOSPITAL GWINNETT1000 MEDICAL CENTER BOULEVARD
LAWRENCEVILLE, GA 30046
(678) 312-1000Acute Care Hospitals

Reviews for DR. ROBERT E BLACK III MD

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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.
1003015728
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003011074
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 0 + 7 + 4 + 24 = 42
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 42 = 88

The NPI number 1003015728 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1841266129MRS. M. CHRISTINE HARTLEY RD, LD, CDE
Individual
Dietitian, Registered1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-6045
1588602189 NAREN LOGENDRA M.D.
Individual
Internal Medicine1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 714-2070
1912041294 ALISHA JILL HOLBROOK FNP
Individual
Nurse Practitioner1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-3356
1720292063DR. JEFFREY EDWARD GREENWOOD MD
Individual
Emergency Medicine1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-3317
1366628729DR. AMANDA PIERZCHALA M.D.
Individual
Emergency Medicine (Pediatric Emergency Medicine)1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-3356
1104152065 ALLISON REINECKE HODGE CRNA
Individual
Nurse Anesthetist, Certified Registered1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(770) 963-9905
1619245107GWINNETT HOSPITAL SYSTEM, INC.
Organization
Rehabilitation Hospital1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-1000
1457609257 SHAWNEKA D BRYAN NP-C
Individual
Nurse Practitioner (Family)1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-3356
1841482478DR. LANCE G. DASHER MD
Individual
Radiology (Diagnostic Radiology)1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-4440
1639196348MRS. PRISCILLA L. STOCKWELL NP
Individual
Nurse Practitioner (Family)1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-3273
1407907280 LAURA GILBERT MITCHELL NP
Individual
Nurse Practitioner (Family)1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-3273
1811175458MRS. LISA ANN TRUBIA-SHAPIRO NP
Individual
Nurse Practitioner (Family)1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-3272
1003171943 HEATHER GAIL KOTULA PAAA
Individual
Anesthesiologist Assistant1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(770) 963-9905
1275873861MR. TIMOTHY NORMAN CARREGA NP
Individual
Nurse Practitioner (Family)1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-3356
1316922354DR. ROBERT A EISENBERG MD
Individual
Radiology (Diagnostic Radiology)1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-4440
1639154669DR. JOSEPH C FINLEY MD
Individual
Radiology (Diagnostic Radiology)1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-4440
1902881949DR. GORDON GOLDSTEIN MD
Individual
Radiology (Diagnostic Radiology)1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-4440
1669450284DR. SANJAY RAJNI PATEL MD
Individual
Radiology (Diagnostic Radiology)1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-4440
1902111719 EMILY M GASTON PTA
Individual
Physical Therapy Assistant1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-4324
1285078006 LORRAINE E ENGLISH NP
Individual
Nurse Practitioner1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(770) 963-9905

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003015728, enumerated in the NPI registry as an "individual" on July 12, 2007

The provider is located at 1000 Medical Center Blvd Lawrenceville, Ga 30046 and the phone number is (770) 277-3056

The provider's speciality is Anesthesiology with taxonomy code 207L00000X

The provider has more than 17 years of experience. He graduated from University Of Texas Medical School At San Antonio in 2007.

The provider might be accepting Accepts: CareSource, Cigna HealthCare of Georgia, Inc,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 11, 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.

The most common procedures or services performed by this practitioner are: Insertion of arterial catheter for blood sampling or infusion, accessed through the skin and Ultrasonic guidance imaging supervision and interpretation for insertion of needle.

The practitioner is affiliated to the following hospital(s): NORTHSIDE HOSPITAL GWINNETT. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on July 12, 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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