PETER K BLACK MD
NPI 1265460406
Preventive Medicine - Undersea and Hyperbaric Medicine in Vancouver, WA

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
84.63/100
CMS Quality Rating
8716 E MILL PLAIN BLVD, VANCOUVER, WA 98664(360) 514-4325(360) 514-4336 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 26, 2025, Jul 3, 2023, Oct 15, 2020 and 2 more (5 updates tracked since 2016).

About Peter K Black Md NPPES

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

PETER K BLACK MD (NPI 1265460406) is an individual undersea and hyperbaric medicine provider in Vancouver, Washington, licensed in Washington (MD61439872) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Peacehealth Southwest Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1265460406
Entity TypeIndividualMale
Primary Taxonomy2083P0011X
Provider Legal NamePETER K BLACKCredential: MD
Location Address8716 E MILL PLAIN BLVDVancouver, WA 98664-2531
Mailing Address8716 E Mill Plain BlvdVancouver, WA 98664-2531 · (360) 514-4325
Fax(360) 514-4336
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2000
Enumeration DateJune 28, 2006
Last NPPES UpdateJune 26, 20255 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
NPI 1265460406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPreventive Medicine · Undersea and Hyperbaric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0011X
Licenses Licensed in WA · MD61439872 Licensed in OR · MD24481
Definition

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD61439872 (WA)
8716 E MILL PLAIN BLVD, Vancouver, WA 98664

Secondary Practice Location 1

Location 14805 NE Glisan St, Ste 4J14Portland, OR 97213-2933 · Phone (503) 215-6061 · Fax (503) 215-6012

Other Identifiers 2

OtherP00464800OR · Rr Medicare
Medicaid227426OR

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

Peter K Black Md 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 ID5890690895
PECOS Enrollment IDI20230714003515
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 10

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.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
419 services79 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
398 services83 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
217 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
182 services41 patients
Removal of muscle and/or tissue, 20.0 sq cm or less 11043
This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.
151 services26 patients
Removal of muscle and/or tissue, each additional 20.0 sq cm or less 11046
This procedure involves the removal of muscle and/or tissue, typically to treat disease or injury. An additional 20.0 square cm or less of tissue may be removed if necessary. The process is performed by a skilled medical professional to ensure your safety and recovery.
116 services12 patients

Hospital Affiliations CMS Care Compare

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

Peacehealth Southwest Medical Center

Acute Care Hospitals · Vancouver, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500050
Location400 NE Mother Joseph PlaceVancouver, WA 98668 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98664 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

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.

84.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.03
Promoting Interoperability100
Improvement Activities40
Cost53.97

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
2 suppliers11 claims189 services$9.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
8716 E MILL PLAIN BLVD
VANCOUVER, WA 98664
Family Medicine
8716 E MILL PLAIN BLVD
VANCOUVER, WA 98664
Family Medicine
8716 E MILL PLAIN BLVD
VANCOUVER, WA 98664
Dietitian, Registered
8716 E MILL PLAIN BLVD
VANCOUVER, WA 98664
Dietitian, Registered
8716 E MILL PLAIN BLVD
VANCOUVER, WA 98664
Dietitian, Registered
8716 E MILL PLAIN BLVD, SPECIALTY CLINICS BUILDING
VANCOUVER, WA 98664
Podiatrist (Foot Surgery)
8716 E MILL PLAIN BLVD
VANCOUVER, WA 98664
Obstetrics & Gynecology
8716 E MILL PLAIN BLVD
VANCOUVER, WA 98664

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 Peter Black's NPI number?

The NPI number for Peter Black is 1265460406. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Peter Black located?

Peter Black practices at 8716 E Mill Plain Blvd, Vancouver, WA 98664. The listed phone number is (360) 514-4325.

What is Peter Black's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Undersea and Hyperbaric Medicine, with taxonomy code 2083P0011X.

Is Peter Black enrolled in Medicare?

Yes. Peter 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 Peter Black accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Peter 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 Peter Black affiliated with any hospitals?

According to CMS data, Peter Black is affiliated with Peacehealth Southwest Medical Center.

When was this NPI record last updated?

The NPPES record for Peter Black was last updated on June 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.