WILLIAM S BLACK MD
NPI 1063478675
Family Medicine in Owensboro, KY

Active since April 22, 2006PECOS Enrolled
1006 FORD AVE, OWENSBORO, KY 42301(270) 688-2110(270) 688-2111 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 13, 2023, Aug 25, 2021 (2 updates tracked since 2021).

About William S Black Md NPPES

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

WILLIAM S BLACK MD (NPI 1063478675) is an individual family medicine provider in Owensboro, Kentucky, licensed in Kentucky (28129) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1063478675
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWILLIAM S BLACKCredential: MD
Location Address1006 FORD AVEOwensboro, KY 42301-4677
Mailing AddressPo Box 23229Owensboro, KY 42304-3229 · (270) 688-1330 · Fax (270) 688-1338
Fax(270) 688-2111
Sole ProprietorNo
Enumeration DateApril 22, 2006
Last NPPES UpdateJune 13, 20232 updates tracked since enumeration
NPPES CertifiedJune 13, 2023
NPI 1063478675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KY · 28129
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 28129 (KY)
1006 FORD AVE, Owensboro, KY 42301

Secondary Practice Locations 5

Location 11301 Pleasant Valley Rd Ste 500BOwensboro, KY 42303-9774 · Phone (270) 417-7940 · Fax (270) 417-7949
Location 2811 E Parrish Ave Ste 102Owensboro, KY 42303-3258 · Phone (270) 688-2077 · Fax (270) 688-2078
Location 32025 W Everly Brothers Blvd Ste 1APowderly, KY 42367-5401 · Phone (270) 377-2600 · Fax (270) 377-2610
Location 4908 Wallace Ave Ste 103Leitchfield, KY 42754-1479 · Phone (270) 200-4510 · Fax (270) 259-1515
Location 5800 Rose StLexington, KY 40536-4677 · Phone (859) 323-2778 · Fax (859) 257-8708

Other Identifiers 1

Medicaid64281298KY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

William S Black Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42301 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Marriage & Family Therapist
1006 FORD AVE
OWENSBORO, KY 42301
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
1006 FORD AVE
OWENSBORO, KY 42301
Registered Nurse (Diabetes Educator)
1006 FORD AVE
OWENSBORO, KY 42301
Social Worker
1006 FORD AVE
OWENSBORO, KY 42301
Counselor (Professional)
1006 FORD AVE
OWENSBORO, KY 42301
Registered Nurse (Diabetes Educator)
1006 FORD AVE
OWENSBORO, KY 42301
Registered Nurse (Diabetes Educator)
1006 FORD AVE
OWENSBORO, KY 42301
Social Worker
1006 FORD AVE
OWENSBORO, KY 42301

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 William Black's NPI number?

The NPI number for William Black is 1063478675. It was assigned to this individual provider in the NPPES registry on April 22, 2006.

Where is William Black located?

William Black practices at 1006 Ford Ave, Owensboro, KY 42301. The listed phone number is (270) 688-2110.

What is William Black's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is William Black enrolled in Medicare?

Yes. William Black is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Black was last updated on June 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.