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DESTIN R. BLACK MD
NPI 1306062625
Obstetrics & Gynecology - Gynecologic Oncology in Shreveport, LA

Active since April 17, 2007PECOS EnrolledAccepts Medicare Assignment
2600 KINGS HWY, SUITE 420, SHREVEPORT, LA 71103(318) 212-8727(318) 212-8771 Get Directions Write a Review

NPPES record last updated: June 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Destin R. Black Md NPPES

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

DESTIN R. BLACK MD (NPI 1306062625) is an individual gynecologic oncology provider in Shreveport, Louisiana, licensed in Louisiana (024725) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Willis Knighton Medical Center, and is a graduate of Louisiana State University School Of Medicine In Shreveport (1999).

NPPES Registry Identity

NPI1306062625
Entity TypeIndividualFemale
Primary Taxonomy207VX0201X
Provider Legal NameDESTIN R. BLACKCredential: MD
Location Address2600 KINGS HWY, SUITE 420Shreveport, LA 71103-3950
Mailing Address2600 Kings Hwy, Suite 420Shreveport, LA 71103-3950 · (318) 212-8727 · Fax (318) 212-8771
Phone(318) 212-8727
Fax(318) 212-8771
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 1999
Enumeration DateApril 17, 2007
Last NPPES UpdateJune 18, 2021
NPPES CertifiedJune 18, 2021
✔ NPI 1306062625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License✔ Licensed in LA · 024725
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
2600 KINGS HWY, Shreveport, LA 71103
Open in Google Maps ↗

Other Identifiers 2

Other4K574F600LA · Medicare - Ptan
Medicaid1577936LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

Destin R. 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 ID4385745470
PECOS Enrollment IDI20070719000233
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 6

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
83 services83 patients
Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less 58571
This procedure involves the removal of certain internal structures through small incisions in the abdomen, using a special tool called an endoscope. It's performed when these structures are causing health issues. The weight reference (250.0 g or less) relates to the size of the structures being removed.
37 services37 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
35 services33 patients
Imaging of lymph nodes during surgery 38900
Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.
33 services33 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.
26 services23 patients
Removal of lymph nodes of both sides of pelvis using an endoscope 38571
This procedure involves using a small camera (endoscope) to view and remove lymph nodes from both sides of your lower torso. Lymph nodes help filter harmful substances from the body. The procedure is done to prevent the spread of certain conditions.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190111
Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71103 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
$164.73 typical visit price
range $53.43 – $164.73
Typical copayment $41.18 (range $13.35 – $41.18)
Most-billed visit code 99205
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

ROBERT A. NICKELSON M.D.
Internal Medicine (Hematology & Oncology)
2600 KINGS HWY, SUITE 340
SHREVEPORT, LA 71103
Caddo Parish (318) 212-8620
HEIDI E WIMBERLY PA-C
Physician Assistant (Medical)
2600 KINGS HWY, DEPARTMENT OF RADIATION ONCOLOGY
SHREVEPORT, LA 71103
Caddo Parish (318) 212-4639
DANIELLA PHUONG-DI DANG M.D.
Radiology (Radiation Oncology)
2600 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 212-4639
JOYCE E FEAGIN MD AND WILLIS-KNIGHTON MEDICAL CENTER
Internal Medicine (Hematology & Oncology)
2600 KINGS HWY, SUITE 340
SHREVEPORT, LA 71103
Caddo Parish (318) 212-8620
ANIL VELUVOLU MD
Internal Medicine (Hematology & Oncology)
2600 KINGS HWY, SUITE 340
SHREVEPORT, LA 71103
Caddo Parish (318) 212-8620
DR. SANFORD RORY KATZ M.D.
Radiology (Radiation Oncology)
2600 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 212-4639
DR. MICHAEL LEONARD DURCI M.D.
Radiology (Radiation Oncology)
2600 KINGS HWY, WILLIS KNIGHTON CANCER CENTER
SHREVEPORT, LA 71103
Caddo Parish (318) 212-4639
JOYCE ELIZABETH FEAGIN MD
Internal Medicine (Hematology & Oncology)
2600 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 212-8620

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 Destin Black's NPI number?

The NPI number for Destin Black is 1306062625. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Destin Black located?

Destin Black practices at 2600 Kings Hwy Suite 420, Shreveport, LA 71103. The listed phone number is (318) 212-8727.

What is Destin Black's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Destin Black enrolled in Medicare?

Yes. Destin 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 Destin Black accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Destin 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 Destin Black affiliated with any hospitals?

According to CMS data, Destin Black is affiliated with Willis Knighton Medical Center.

When was this NPI record last updated?

The NPPES record for Destin Black was last updated on June 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.