MICHAEL VINCENT BLACK PA-C, ATC
NPI 1376016873
Physician Assistant in New York, NY

Active since January 07, 2019PECOS Enrolled
541 E 71ST ST FL 1, NEW YORK, NY 10021(646) 797-8735(646) 797-8726 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2021, Mar 11, 2019, Feb 8, 2019 and 1 more (4 updates tracked since 2019).

About Michael Vincent Black Pa-c, Atc NPPES

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

MICHAEL VINCENT BLACK PA-C, ATC (NPI 1376016873) is an individual physician assistant in New York, New York, licensed in New York (023345) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS, is affiliated with Hospital For Special Surgery, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376016873
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL VINCENT BLACKCredential: PA-C, ATC
Location Address541 E 71ST ST FL 1New York, NY 10021-4871
Mailing Address535 E 70th StNew York, NY 10021-4823 · (646) 797-8735 · Fax (646) 797-8726
Fax(646) 797-8726
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 7, 2019
Last NPPES UpdateNovember 1, 20244 updates tracked since enumeration
NPPES CertifiedNovember 1, 2024
NPI 1376016873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 023345
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License 002248 (NY)
541 E 71ST ST FL 1, New York, NY 10021

Secondary Practice Locations 2

Location 11133 Westchester AveWhite Plains, NY 10604-3516 · Phone (646) 797-8735 · Fax (646) 797-8726
Location 2535 E 70th StNew York, NY 10021-4823 · Phone (646) 797-8735 · Fax (646) 797-8726

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael Vincent Black Pa-c, Atc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335482710
PECOS Enrollment IDI20221019002324
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 2

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.

Anchoring of biceps tendon 23430
Anchoring of the biceps tendon is a surgical procedure aimed at restoring stability to your arm. The surgeon secures your biceps tendon to the bone using special anchors, which helps to reduce pain and improve arm function.
12 services11 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Hospital For Special Surgery

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330270
Location535 East 70th StreetNew York, NY 10021 · New York County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier18 claims18 services$38.98 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 4

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

Physician Assistant
541 E 71ST ST FL 1
NEW YORK, NY 10021
Physician Assistant
541 E 71ST ST FL 1
NEW YORK, NY 10021
Orthopaedic Surgery
541 E 71ST ST FL 1
NEW YORK, NY 10021
Orthopaedic Surgery
541 E 71ST ST FL 1
NEW YORK, NY 10021

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 Michael Black's NPI number?

The NPI number for Michael Black is 1376016873. It was assigned to this individual provider in the NPPES registry on January 7, 2019.

Where is Michael Black located?

Michael Black practices at 541 E 71st St Fl 1, New York, NY 10021. The listed phone number is (646) 797-8735.

What is Michael Black's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michael Black enrolled in Medicare?

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

Is Michael Black affiliated with any hospitals?

According to CMS data, Michael Black is affiliated with Hospital For Special Surgery.

When was this NPI record last updated?

The NPPES record for Michael Black was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.