DR. JEANETTE MARIE BLACK M.D.
NPI 1497070510
Dermatology - Procedural Dermatology in Los Angeles, CA

NPI Status: Active since March 31, 2010

Contact Information

9201 W SUNSET BLVD
SUITE 602
LOS ANGELES, CA
ZIP 90069
Phone: (310) 246-0495
Fax: (310) 246-0496

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  • Individual
  • Female
  • Dermatology
  • Procedural Dermatology
  • PECOS Enrolled
  • Medicare Quality Reporting

About JEANETTE BLACK

This page provides the complete NPI Profile along with additional information for Jeanette Black, a provider established in Los Angeles, California with a medical specialization in Dermatology, focusing in procedural dermatology . The healthcare provider is registered in the NPI registry with number 1497070510 assigned on March 2010. The practitioner's primary taxonomy code is 207NS0135X with license number A136731 (CA). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1497070510
Provider Name
DR. JEANETTE MARIE BLACK M.D.
Gender
Female
Entity Type
Individual
Location Address
9201 W SUNSET BLVD SUITE 602 LOS ANGELES, CA 90069
Location Phone
(310) 246-0495
Location Fax
(310) 246-0496
Mailing Address
2285 CORPORATE CIR STE 200 HENDERSON, NV 89074
Mailing Phone
(702) 360-2763
Mailing Fax
(310) 246-0496
Is Sole Proprietor?
Yes
Enumeration Date
03-31-2010
Last Update Date
06-23-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology Procedural Dermatology

Taxonomy Code
207NS0135X
Type
Allopathic & Osteopathic Physicians
License No.
A136731
License State
CA
Taxonomy Description
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Medicare Participation & PECOS Enrollment Status

Jeanette Black is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 90069 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $96.36
  • Minimum New Patient Price $62.96
  • Maximum New Patient Price $187.6
  • Average New Patient Copayment $24.09
  • Minimum New Patient Copayment $15.74
  • Maximum New Patient Copayment $46.9

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $77.96
  • Minimum Established Patient Price $20.84
  • Maximum Established Patient Price $153.61
  • Average Established Patient Copayment $19.49
  • Minimum Established Patient Copayment $5.21
  • Maximum Established Patient Copayment $38.4

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Engagement of New Medicaid Patients and Follow-upYesN/A
Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity.
Engagement of patients through implementation of improvements in patient portalYesN/A
Access to an enhanced patient portal that provides up to date information related to relevant chronic disease health or blood pressure control, and includes interactive features allowing patients to enter health information and/or enables bidirectional communication about medication changes and adherence.
Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral LoopYesN/A
Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology.
Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms.YesN/A
Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms.

Reviews for DR. JEANETTE MARIE BLACK M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1497070510, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
7
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
1
Doubled → 2
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 8 + 7 + 0 + 7 + 0 + 5 + 2 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1497070510.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Otolaryngology (Facial Plastic Surgery)
9201 W SUNSET BLVD, M130
LOS ANGELES, CA 90069
Specialist
9201 W SUNSET BLVD, 612
LOS ANGELES, CA 90069
Specialist
9201 W SUNSET BLVD, SUITE 406
LOS ANGELES, CA 90069
Dentist (Oral and Maxillofacial Surgery)
9201 W SUNSET BLVD, SUITE 502
LOS ANGELES, CA 90069
Dentist (Orthodontics and Dentofacial Orthopedics)
9201 W SUNSET BLVD, SUITE 200
LOS ANGELES, CA 90069
Dentist (General Practice)
9201 W SUNSET BLVD, SUITE 915
WEST HOLLYWOOD, CA 90069
Dentist (General Practice)
9201 W SUNSET BLVD, SUITE 912
LOS ANGELES, CA 90069
Psychiatry & Neurology (Psychiatry)
9201 W SUNSET BLVD, SUITE 606
LOS ANGELES, CA 90069
Psychologist (Clinical)
9201 W SUNSET BLVD, SUITE 718
WEST HOLLYWOOD, CA 90069
Preventive Medicine (Public Health & General Preventive Medicine)
9201 W SUNSET BLVD, SUITE 902
WEST HOLLYWOOD, CA 90069
Dentist (Pediatric Dentistry)
9201 W SUNSET BLVD, SUITE 200
LOS ANGELES, CA 90069
Dentist (Pediatric Dentistry)
9201 W SUNSET BLVD, SUITE 200
LOS ANGELES, CA 90069
Plastic Surgery
9201 W SUNSET BLVD, SUITE 611
LOS ANGELES, CA 90069
Specialist
9201 W SUNSET BLVD, STE.910
LOS ANGELES, CA 90069
Dentist (General Practice)
9201 W SUNSET BLVD, SUITE 208
LOS ANGELES, CA 90069
Dentist (General Practice)
9201 W SUNSET BLVD, SUITE 610
WEST HOLLYWOOD, CA 90069
Psychologist
9201 W SUNSET BLVD, SUITE 701
LOS ANGELES, CA 90069
Specialist
9201 W SUNSET BLVD, SUITE 310
WEST HOLLYWOOD, CA 90069
Surgery (Plastic and Reconstructive Surgery)
9201 W SUNSET BLVD, 805
LOS ANGELES, CA 90069

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497070510, enumerated as an "individual" on March 31, 2010.

The provider is located at 9201 W SUNSET BLVD SUITE 602 LOS ANGELES, CA 90069 and the phone number is (310) 246-0495.

Dermatology with taxonomy code 207NS0135X and a focus in Procedural Dermatology.