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DR. EVAN GEORGE BLACK M.D.
NPI 1346260247
Psychiatry & Neurology - Neurology in Murray, UT

Active since July 20, 2006PECOS Enrolled
5323 WOODROW ST, #201, MURRAY, UT 84107(801) 261-4711(801) 261-4769 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 3, 2023, Nov 9, 2022, Apr 6, 2022 and 3 more (6 updates tracked since 2021).

About Dr. Evan George Black M.d. NPPES

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

DR. EVAN GEORGE BLACK M.D. (NPI 1346260247) is an individual neurology provider in Murray, Utah, licensed in Oregon (MD205738) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1346260247
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. EVAN GEORGE BLACKCredential: M.D.
Location Address5323 WOODROW ST, #201Murray, UT 84107-5841
Mailing Address5323 Woodrow St, #201Murray, UT 84107-5841 · (801) 261-4711 · Fax (801) 261-4769
Phone(801) 261-4711
Fax(801) 261-4769
Sole ProprietorYes
Enumeration DateJuly 20, 2006
Last NPPES UpdateJanuary 3, 20236 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2023
✔ NPI 1346260247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in OR · MD205738✔ Licensed in PA · MD476184✔ Licensed in UT · 187597-1205✔ Licensed in NH · 21619✔ Licensed in MT · 99622✔ Licensed in GA · 89191
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
5323 WOODROW ST, Murray, UT 84107
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Secondary Practice Locations 3

Location 1630 Eaton AveHamilton, OH 45013-2767 · Phone (513) 867-2000 · Fax (513) 867-2119
Location 21250 S Cedar Crest Blvd Ste 405Allentown, PA 18103-6224 · Phone (610) 402-8420
Location 311215 Metro Pkwy Ste 1Fort Myers, FL 33966-1206 · Phone (239) 208-2212

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Cigna Healthcare, Providence Health Plan and more.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. Evan George Black M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

6

Medicare enrollment records show Evan Black reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Mark's Professional Services, LLC
4.5 mi
Internal Medicine
1200 E 3900 S
Salt Lake City, UT 84124
  • Reassigned Medicare billing, Utah enrollment
  • Medicare enrollment name: St Marks Professional Services LLC
  • 14 clinicians in this Medicare group
NPI 1912925629 (801) 268-7860
Froedtert & the Medical College Of Wisconsin Community Physicians, Inc.
1,233 mi
Internal Medicine
W180N8000 TOWN HALL RD
Menomonee Falls, WI 53051
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,294 clinicians in this Medicare group
NPI 1568787448 (262) 255-2500
Lakeland Medical Practices
1,316 mi
Internal Medicine
9623 RED ARROW HWY
Bridgman, MI 49106
  • Reassigned Medicare billing, Michigan enrollment
  • 724 clinicians in this Medicare group
NPI 1568232247 (269) 465-6050
Piedmont Athens Hospitalist Physicians LLC
1,581 mi
Internal Medicine
35 COLLIER RD NW STE 635
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 410 clinicians in this Medicare group
NPI 1578079000 (404) 367-3014
Columbus Ambulatory Healthcare Services, Inc.
1,592 mi
Family Medicine
1800 10TH AVE
Columbus, GA 31901
  • Reassigned Medicare billing, Georgia enrollment
  • 391 clinicians in this Medicare group
NPI 1790733244 (706) 571-1120
Upson County Hospital Inc
1,612 mi
General Acute Care Hospital
801 W GORDON ST
Thomaston, GA 30286
  • Reassigned Medicare billing, Georgia enrollment
  • 62 clinicians in this Medicare group
NPI 1659376630 (706) 647-8111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
60 services34 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
30 services30 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
30 services16 patients
Measurement of brain wave activity (eeg), 41-60 minutes 95812
This procedure involves placing small sensors on your head to record your brain's electrical activity for 41-60 minutes. Known as an EEG, it helps doctors understand how your brain works, assisting in diagnosing conditions like epilepsy or sleep disorders.
25 services21 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84107 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers14 claims14 services$74.20 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers14 claims35 services$27.84 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
1 supplier12 claims12 services$16.51 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
1 supplier12 claims12 services$84.25 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 7

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

BREAWN RIZZUTO NP-C
Nurse Practitioner
5323 WOODROW ST, SUITE #102
MURRAY, UT 84107
Salt Lake County (801) 913-1010
SLEEP INSTITUTE OF UTAH LC
Clinic/Center (Sleep Disorder Diagnostic)
5323 WOODROW ST, STE 205
MURRAY, UT 84107
Salt Lake County (801) 713-0561
RACHEL DRESHER GURR PA-C
Physician Assistant (Surgical)
5323 WOODROW ST
MURRAY, UT 84107
Salt Lake County (801) 713-1010
MMPS MURRAY
Clinic/Center (Multi-Specialty)
5323 WOODROW ST
MURRAY, UT 84107
Salt Lake County (801) 713-0600
CHRISTOPHER DAVIS PA
Physician Assistant
5323 WOODROW ST, SUITE 200
MURRAY, UT 84107
Salt Lake County (801) 747-1020
DR. MAYA THOMAS M.D.
Psychiatry & Neurology (Neurology)
5323 WOODROW ST
MURRAY, UT 84107
Salt Lake County (801) 266-5559
JOHN G SKEDROS MD
Orthopaedic Surgery
5323 WOODROW ST, STE. 202
SALT LAKE CITY, UT 84107
Salt Lake County (801) 713-0606

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 Evan Black's NPI number?

The NPI number for Evan Black is 1346260247. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Evan Black located?

Evan Black practices at 5323 Woodrow St #201, Murray, UT 84107. The listed phone number is (801) 261-4711.

What is Evan Black's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Evan Black enrolled in Medicare?

Yes. Evan Black is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Evan Black's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Black reassigns Medicare benefits to 6 organizations: St Mark's Professional Services, LLC (Salt Lake City, UT), Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, WI), Lakeland Medical Practices (Bridgman, MI), Piedmont Athens Hospitalist Physicians LLC (Atlanta, GA), Columbus Ambulatory Healthcare Services, Inc. (Columbus, GA) and 1 more organization, listed in the Medicare section above. 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 Evan Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evan Black accept?

Health plans from BridgeSpan Health Company, Cigna Healthcare, Providence Health Plan, Regence BlueCross BlueShield of Utah and Select Health list Evan 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 Evan Black was last updated on January 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.