JONATHAN S. BLACK M.D.
NPI 1548463300
Plastic Surgery in Charlottesville, VA

Active since June 08, 2007PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
1300 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22903(434) 924-5078(434) 924-8118 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2023, Jul 30, 2021, Oct 13, 2020 and 1 more (4 updates tracked since 2019).

About Jonathan S. Black M.d. NPPES

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

JONATHAN S. BLACK M.D. (NPI 1548463300) is an individual plastic surgery provider in Charlottesville, Virginia, licensed in Virginia (0101256477) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1548463300
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameJONATHAN S. BLACKCredential: M.D.
Location Address1300 JEFFERSON PARK AVECharlottesville, VA 22903-3363
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Fax(434) 924-8118
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2007
Enumeration DateJune 8, 2007
Last NPPES UpdateAugust 9, 20234 updates tracked since enumeration
NPPES CertifiedAugust 9, 2023
NPI 1548463300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in VA · 0101256477
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedPediatricsTaxonomy 208000000X · License 0101256477 (VA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 0116019221 (VA)
1300 JEFFERSON PARK AVE, Charlottesville, VA 22903

Secondary Practice Locations 4

Location 1629 Cedar Creek Grade Ste BWinchester, VA 22601-2786 · Phone (540) 678-3950 · Fax (540) 678-3950
Location 270 Medical Center Cir Ste 203Fishersville, VA 22939-2273 · Phone (540) 932-5571 · Fax (540) 932-5772
Location 31204 W Main StCharlottesville, VA 22903-2824 · Phone (434) 982-6100 · Fax (434) 982-0747
Location 41215 Lee StCharlottesville, VA 22908-3363 · Phone (434) 924-0211

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jonathan S. 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.

PECOS PAC ID3173744976
PECOS Enrollment IDI20141020002590
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 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.

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132
This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.
29 services29 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services18 patients
Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm 13151
This procedure involves the intricate repair of a wound that is 1.1 to 2.5 cm long on your eyelids, nose, ears, or lip. The goal is to mend the wound carefully to preserve function and minimize scarring. The process may involve stitching and other techniques.
23 services23 patients
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm 13131
This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size is between 1.1-2.5 cm. This repair may involve multiple layers of sutures and could require reconstruction of the skin.
21 services21 patients
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060
This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.
20 services20 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.66
Promoting Interoperability100
Improvement Activities40
Cost57.65

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.

Ophthalmology
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Ophthalmology
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Optometrist
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Ophthalmology
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Psychiatry & Neurology (Psychiatry)
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Transplant Surgery
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Dietitian, Registered
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Dietitian, Registered
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903

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 Jonathan Black's NPI number?

The NPI number for Jonathan Black is 1548463300. It was assigned to this individual provider in the NPPES registry on June 8, 2007.

Where is Jonathan Black located?

Jonathan Black practices at 1300 Jefferson Park Ave, Charlottesville, VA 22903. The listed phone number is (434) 924-5078.

What is Jonathan Black's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Jonathan Black enrolled in Medicare?

Yes. Jonathan 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.

Is Jonathan Black affiliated with any hospitals?

According to CMS data, Jonathan Black is affiliated with University Of Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Jonathan Black was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.