Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KEVIN ZACHARY BLACK
NPI 1285256909
Orthopaedic Surgery in Effingham, IL

Q: What is Kevin Black's NPI number?

The NPI number for Kevin Black is 1285256909. It was assigned to this individual provider in the NPPES registry on May 15, 2020.

Q: What is Kevin Black's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Black was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 15, 2020PECOS EnrolledAccepts Medicare Assignment

1303 W EVERGREEN AVE STE 200, EFFINGHAM, IL 62401(217) 342-3400(217) 342-6417 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 14, 2026, Jun 18, 2025, May 15, 2020 (3 updates tracked since 2020).

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About Kevin Zachary Black NPPES

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

KEVIN ZACHARY BLACK (NPI 1285256909) is an individual orthopaedic surgery provider in Effingham, Illinois, licensed in Illinois (036181434) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Carilion Medical Center, and maintains a secondary practice location in Roanoke.

NPPES Registry Identity

NPI1285256909

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameKEVIN ZACHARY BLACK

Location Address1303 W EVERGREEN AVE STE 200Effingham, IL 62401-1638

Mailing AddressPo Box 372Mattoon, IL 61938-0372

Phone(217) 342-3400

Fax(217) 342-6417

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMay 15, 2020

Last NPPES UpdateAugust 14, 20263 updates tracked since enumeration

NPPES CertifiedAugust 14, 2026

✔ NPI 1285256909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in IL · 036181434

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1303 W EVERGREEN AVE STE 200, Effingham, IL 62401

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Secondary Practice Location 1

Location 12331 Franklin Rd SWRoanoke, VA 24014-1111 · Phone (540) 981-7000

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

Kevin Zachary Black 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 ID6507287182

PECOS Enrollment IDI20250729003623

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.

Hospital Affiliations CMS Care Compare

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

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490024

Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62401 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

Other Providers at the Same Location NPPES 11

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

FRANK S LEE M.D.

Orthopaedic Surgery