DR. JOHN WILLIAM BLACK M.D.
NPI 1023092095
Radiology - Diagnostic Radiology in Charlotte, NC

Active since December 02, 2005PECOS EnrolledAccepts Medicare Assignment
81.87/100
CMS Quality Rating
3623 LATROBE DR, SUITE 216, CHARLOTTE, NC 28211(704) 332-1291(704) 332-5206 Get Directions Write a Review

NPPES record last updated: September 13, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 13, 2020, Jun 29, 2018 (2 updates tracked since 2018).

About Dr. John William Black M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN WILLIAM BLACK M.D. (NPI 1023092095) is an individual diagnostic radiology provider in Charlotte, North Carolina, licensed in North Carolina (96-01000) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Novant Health Rowan Medical Center, and is a graduate of Georgetown University School Of Medicine (1990).

NPPES Registry Identity

NPI1023092095
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. JOHN WILLIAM BLACKCredential: M.D.
Location Address3623 LATROBE DR, SUITE 216Charlotte, NC 28211
Mailing AddressPo Box 221249Charlotte, NC 28222-1249 · (704) 332-1291 · Fax (704) 332-5206
Fax(704) 332-5206
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1990
Enumeration DateDecember 2, 2005
Last NPPES UpdateSeptember 13, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2020
NPI 1023092095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in NC · 96-01000 Licensed in SC · 27821
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

3623 LATROBE DR, Charlotte, NC 28211

Other Identifiers 1

Medicaid891010RNC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. John William Black M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103895479
PECOS Enrollment IDI20041006000565
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 49

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
536 services495 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
328 services328 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
327 services327 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
325 services325 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
323 services323 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
151 services150 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Rowan Medical Center

Acute Care Hospitals · Salisbury, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340015
Location612 Mocksville AveSalisbury, NC 28144 · Rowan County
Emergency services Birthing friendly

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Matthews Medical Center

Acute Care Hospitals · Matthews, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340171
Location1500 Matthews Twnshp Prkwy Box 3310Matthews, NC 28106 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Huntersville Medical Center

Acute Care Hospitals · Huntersville, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340183
Location10030 Gilead RoadHuntersville, NC 28078 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Mint Hill Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340190
Location8201 Healthcare LoopCharlotte, NC 28215 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost39.58

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
3623 LATROBE DR, SUITE 216
CHARLOTTE, NC 28211
Radiology (Diagnostic Radiology)
3623 LATROBE DR, SUITE 216
CHARLOTTE, NC 28211
Radiology (Diagnostic Radiology)
3623 LATROBE DR, SUITE 216
CHARLOTTE, NC 28211
In Home Supportive Care
3623 LATROBE DR, SUITE 105
CHARLOTTE, NC 28211
Radiology (Diagnostic Radiology)
3623 LATROBE DR, SUITE 216
CHARLOTTE, NC 28211
Psychiatry & Neurology (Forensic Psychiatry)
3623 LATROBE DR, SUITE 121
CHARLOTTE, NC 28211
Radiology (Diagnostic Radiology)
3623 LATROBE DR, SUITE 216
CHARLOTTE, NC 28211
Physician Assistant
3623 LATROBE DR, SUITE 216
CHARLOTTE, NC 28211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Black's NPI number?

The NPI number for John Black is 1023092095. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Where is John Black located?

John Black practices at 3623 Latrobe Dr Suite 216, Charlotte, NC 28211. The listed phone number is (704) 332-1291.

What is John Black's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is John Black enrolled in Medicare?

Yes. John Black is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Black accept?

Health plans from Blue Cross and Blue Shield of NC list John Black as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Black affiliated with any hospitals?

According to CMS data, John Black is affiliated with Novant Health Rowan Medical Center, Novant Health Presbyterian Medical Center, Novant Health Matthews Medical Center, Novant Health Huntersville Medical Center and Novant Health Mint Hill Medical Center.

When was this NPI record last updated?

The NPPES record for John Black was last updated on September 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.