DR. KIMBERLY G BLACK M.D.
NPI 1518199728
Surgery in Lone Tree, CO
About Dr. Kimberly G Black M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KIMBERLY G BLACK M.D. (NPI 1518199728) is an individual surgery provider in Lone Tree, Colorado, licensed in Colorado (DR.0055768) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2007).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Dr. Kimberly G Black M.d. 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 Kimberly Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Denver, CO 80247
- Reassigned Medicare billing, Colorado enrollment
- Medicare enrollment name: Colorado Permanente Medical Group PC
- 1,715 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LONE TREE, CO 80124
LONE TREE, CO 80124
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 Kimberly Black's NPI number?
The NPI number for Kimberly Black is 1518199728. It was assigned to this individual provider in the NPPES registry on August 20, 2009.
Where is Kimberly Black located?
Kimberly Black practices at 10240 Park Meadows Dr, Lone Tree, CO 80124. The listed phone number is (303) 338-4545.
What is Kimberly Black's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Kimberly Black enrolled in Medicare?
Yes. Kimberly 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 Kimberly Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Black reassigns Medicare benefits to Colorado Permanente Medical Group, P.C. (Denver, CO). 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 Kimberly 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 Kimberly Black was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Kimberly G Black, M.D. · NPI 1518199728
Surgery physician in Lone Tree, Colorado. Individual provider, active in the CMS NPPES registry since August 20, 2009.
## Identity
- **NPI:** 1518199728 (Entity type: Individual)
- **Enumerated:** August 20, 2009
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** DR.0055768 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 10240 PARK MEADOWS DR, Lone Tree, CO 80124-5425
- **Phone:** (303) 338-4545
## 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:** Colorado Permanente Medical Group, P.C. (NPI 1760599724, Denver, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Stony Brook, School Of Medicine, class of 2007
## Record status
- **NPPES last updated:** June 14, 2021
- **Other identifiers:** Medicaid 44972717 (CO); Other 026664 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1518199728) · Data from the CMS NPPES public registry.