DR. DONALD R BLACK MD
NPI 1306816368
Pediatrics in Walterboro, SC
About Dr. Donald R Black Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DONALD R BLACK MD (NPI 1306816368) is an individual pediatrics provider in Walterboro, South Carolina, licensed in Virginia (0101280774) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Charlottesville.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Donald R Black Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Donald Black reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Myrtle Beach, SC 29572
- Reassigned Medicare billing, South Carolina enrollment
- 559 clinicians in this Medicare group
Myrtle Beach, SC 29572
- Reassigned Medicare billing, South Carolina enrollment
- 529 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29488 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Donald Black's NPI number?
The NPI number for Donald Black is 1306816368. It was assigned to this individual provider in the NPPES registry on January 24, 2006.
Where is Donald Black located?
Donald Black practices at 501 Robertson Blvd, Walterboro, SC 29488. The listed phone number is (704) 782-2000.
What is Donald Black's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Donald Black enrolled in Medicare?
Yes. Donald Black is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Donald Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Donald Black reassigns Medicare benefits to 2 organizations: Acs Primary Care Physicians - Southeast PC (Myrtle Beach, SC) and Southeastern Hospitalist Services PC (Myrtle Beach, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donald Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Donald Black accept?
Health plans from BlueCross BlueShield of South Carolina and InStil Health list Donald 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.
When was this NPI record last updated?
The NPPES record for Donald Black was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Donald R Black, MD · NPI 1306816368
Pediatrics physician in Walterboro, South Carolina. Individual provider, active in the CMS NPPES registry since January 24, 2006.
## Identity
- **NPI:** 1306816368 (Entity type: Individual)
- **Enumerated:** January 24, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 0101280774 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 501 ROBERTSON BLVD, Walterboro, SC 29488-2787
- **Phone:** (704) 782-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Acs Primary Care Physicians - Southeast PC (NPI 1861430555, Myrtle Beach, SC); Southeastern Hospitalist Services PC (NPI 1003280108, Myrtle Beach, SC) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 5, 2024
- **Other identifiers:** Medicaid 7916020 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1306816368) · Data from the CMS NPPES public registry.