PAUL CLIFFORD BLACK MD
NPI 1285825836
Family Medicine in Crossville, TN

Q: What is Paul Black's NPI number?

The NPI number for Paul Black is 1285825836. It was assigned to this individual provider in the NPPES registry on August 8, 2007.

Q: What is Paul Black's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Paul Black was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 August 08, 2007PECOS EnrolledAccepts Medicare Assignment

77.52/100

CMS Quality Rating

100 LANTANA RD STE 202, CROSSVILLE, TN 38555(931) 484-5141(865) 374-2074 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2025, Oct 21, 2020 (2 updates tracked since 2020).

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About Paul Clifford Black Md NPPES

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

PAUL CLIFFORD BLACK MD (NPI 1285825836) is an individual family medicine provider in Crossville, Tennessee, licensed in Missouri (2020030965) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1285825836

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NamePAUL CLIFFORD BLACKCredential: MD

Location Address100 LANTANA RD STE 202Crossville, TN 38555-1903

Mailing Address1000 Gw LnWaynesville, MO 65583-2339 · (573) 774-2715 · Fax (573) 202-2410

Phone(931) 484-5141

Fax(865) 374-2074

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateAugust 8, 2007

Last NPPES UpdateMay 27, 20252 updates tracked since enumeration

NPPES CertifiedMay 27, 2025

✔ NPI 1285825836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MO · 2020030965✔ Licensed in VA · 0101244723✔ Licensed in TN · 44017

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.

100 LANTANA RD STE 202, Crossville, TN 38555

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Secondary Practice Locations 2

Location 1390 Kane StGate City, VA 24251-2753 · Phone (276) 386-3411 · Fax (276) 386-3492

Location 21000 Gw LnWaynesville, MO 65583-2339 · Phone (573) 774-2715 · Fax (573) 202-2410

Other Identifiers 3

Other165699202Black Lung

MedicaidQ009679TN

Other621584391013Tricare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.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

Paul Clifford 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 ID7719041383

PECOS Enrollment IDI20090126000594

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.

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440009

Location421 S Main StCrossville, TN 38555 · Cumberland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38555 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

77.52/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

64.88

Promoting Interoperability

100

Improvement Activities

Cost

60.19

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers11 claims23 services$6.43 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

6 suppliers13 claims34 services$30.80 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

6 suppliers13 claims74 services$2.37 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers18 claims22 services$19.74 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers19 claims23 services$111.76 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

4 suppliers29 claims30 services$196.68 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 14

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

AMBER MARIE LEVI D.O.

Family Medicine