ALYSSA GAIL BLACK DO
NPI 1497383400
Family Medicine in Olive Hill, KY
About Alyssa Gail Black Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALYSSA GAIL BLACK DO (NPI 1497383400) is an individual family medicine provider in Olive Hill, Kentucky, licensed in Kentucky (05595) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with St Claire Regional Medical Center, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Alyssa Gail Black Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Alyssa Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Olive Hill, KY 41164
- Reassigned Medicare billing, Kentucky enrollment
- 296 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.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Claire Regional Medical Center
Acute Care Hospitals · Morehead, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 41164 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES
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 Alyssa Black's NPI number?
The NPI number for Alyssa Black is 1497383400. It was assigned to this individual provider in the NPPES registry on March 27, 2020.
Where is Alyssa Black located?
Alyssa Black practices at 155 Bricklayer St, Olive Hill, KY 41164. The listed phone number is (606) 286-4152.
What is Alyssa Black's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Alyssa Black enrolled in Medicare?
Yes. Alyssa Black is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Alyssa Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alyssa Black reassigns Medicare benefits to St. Claire Medical Center,inc (Olive Hill, KY). The 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 Alyssa Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alyssa Black accept?
Health plans from Anthem Blue Cross and Blue Shield list Alyssa 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.
Is Alyssa Black affiliated with any hospitals?
According to CMS data, Alyssa Black is affiliated with St Claire Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Alyssa Black was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Alyssa Gail Black, DO · NPI 1497383400
Family Medicine physician in Olive Hill, Kentucky. Individual provider, active in the CMS NPPES registry since March 27, 2020.
## Identity
- **NPI:** 1497383400 (Entity type: Individual)
- **Enumerated:** March 27, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 05595 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 155 BRICKLAYER ST, Olive Hill, KY 41164-1268
- **Phone:** (606) 286-4152 · **Fax:** (606) 286-2385
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St. Claire Medical Center,inc (NPI 1639131527, Olive Hill, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 6, 2025
- **Other identifiers:** Other 05595 (KY); Medicaid 7100762470 (KY)
---
Source: [NPI Profile](https://npiprofile.com/npi/1497383400) · Data from the CMS NPPES public registry.