1. Home
  2. Directory
  3. Vermont
  4. Burlington
  5. Obstetrics Gynecology
  6. NPI Profile

MARA BLACK
NPI 1437656659
Obstetrics & Gynecology - Maternal & Fetal Medicine in Burlington, VT

Active since April 13, 2018PECOS Enrolled
74.39/100
CMS Quality Rating
111 COLCHESTER AVE, BURLINGTON, VT 05401(802) 847-1400 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 10, 2026, Apr 13, 2018 (2 updates tracked since 2018).

About Mara Black NPPES

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

MARA BLACK (NPI 1437656659) is an individual maternal & fetal medicine provider in Burlington, Vermont, licensed in Vermont (042.0040390) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of New York University School Of Medicine (2018).

NPPES Registry Identity

NPI1437656659
Entity TypeIndividualFemale
Primary Taxonomy207VM0101X
Provider Legal NameMARA BLACK
Location Address111 COLCHESTER AVEBurlington, VT 05401-1473
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423
Phone(802) 847-1400
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2018
Enumeration DateApril 13, 2018
Last NPPES UpdateAugust 10, 20262 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
✔ NPI 1437656659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License✔ Licensed in VT · 042.0040390
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License D94025 (MD)
111 COLCHESTER AVE, Burlington, VT 05401
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1600 N Wolfe StBaltimore, MD 21287-0005 · Phone (410) 955-5000
Location 2550 1st AveNew York, NY 10016-6402 · Phone (212) 263-5506

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mara Black is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567701097
PECOS Enrollment IDI20220630001182
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

2

Medicare enrollment records show Mara Black reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Vermont Medical Center Inc
0.1 mi
Internal Medicine
111 COLCHESTER AVE
Burlington, VT 05401
  • Reassigned Medicare billing, Vermont enrollment
  • 1,643 clinicians in this Medicare group
NPI 1659309615 (802) 847-0000
Johns Hopkins University
380 mi
Ophthalmology
4692 MILLENNIUM DRIVE, SUITE 200
Belcamp, MD 21017
  • Reassigned Medicare billing, Maryland enrollment
  • 4,483 clinicians in this Medicare group
NPI 1376342774 (410) 000-0000

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 05401 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
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
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.

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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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.

ELENA KOZAKEWICH
Internal Medicine (Pulmonary Disease)
111 COLCHESTER AVE, UVM MEDICAL CENTER, DEPT OF INTERNAL MEDICINE, 222WP2
BURLINGTON, VT 05401
Chittenden County (802) 847-2700
RICHARD BOHLING CAROZZA MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-4589
ANDREW HUY NGUYEN MD
Radiology (Diagnostic Radiology)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-0000
DR. KELLY CURTIS BLANCHET MD
Pediatrics
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2345
LINDSAY ANNE CALDARONE MD
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2345
SHAWN LANSING
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2345
HANNA S LOVING PHD
Pathology (Clinical Laboratory Director, Non-physician)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-5121
KAITLYN MARIE DILLON DNP, APRN, FNP-C
Nurse Practitioner
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-0000

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 Mara Black's NPI number?

The NPI number for Mara Black is 1437656659. It was assigned to this individual provider in the NPPES registry on April 13, 2018.

Where is Mara Black located?

Mara Black practices at 111 Colchester Ave, Burlington, VT 05401. The listed phone number is (802) 847-1400.

What is Mara Black's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Mara Black enrolled in Medicare?

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

Which organizations bill Medicare for Mara Black's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mara Black reassigns Medicare benefits to 2 organizations: University Of Vermont Medical Center Inc (Burlington, VT) and Johns Hopkins University (Belcamp, MD). 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 Mara Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mara Black was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.