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DR. KRISTIN SHANNON BLACK MD
NPI 1609872720
Family Medicine in Lancaster, SC

Active since June 23, 2005Opted out of Medicare · through Jan 1, 2027
820 W MEETING ST, LANCASTER, SC 29720(803) 285-5441 Get Directions Write a Review

NPPES record last updated: September 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kristin Shannon Black Md NPPES

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

DR. KRISTIN SHANNON BLACK MD (NPI 1609872720) is an individual family medicine provider in Lancaster, South Carolina, licensed in South Carolina (22582) and active in the NPI registry since June 2005. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1609872720
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KRISTIN SHANNON BLACKCredential: MD
Location Address820 W MEETING STLancaster, SC 29720-2202
Mailing Address820 W Meeting StLancaster, SC 29720-2202 · (803) 285-5441 · Fax (803) 285-7509
Phone(803) 285-5441
Sole ProprietorNo
Enumeration DateJune 23, 2005
Last NPPES UpdateSeptember 26, 2012
✔ NPI 1609872720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in SC · 22582✔ Licensed in NC · 9901115
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
820 W MEETING ST, Lancaster, SC 29720
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Other Identifiers 3

Medicare UPINH48029
Medicare ID-Type Unspecified2012607NC
Medicaid891330GNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Kristin Shannon Black Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2015 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2015
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29720 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$211.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kristin Black's NPI number?

The NPI number for Kristin Black is 1609872720. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is Kristin Black located?

Kristin Black practices at 820 W Meeting St, Lancaster, SC 29720. The listed phone number is (803) 285-5441.

What is Kristin Black's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kristin Black enrolled in Medicare?

No. Kristin Black has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Kristin Black accept?

Health plans from First Choice Next and UnitedHealthcare list Kristin 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.

When was this NPI record last updated?

The NPPES record for Kristin Black was last updated on September 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.