SHAUN BLACK DO
NPI 1689834707
Emergency Medicine in Erie, PA
About Shaun Black Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAUN BLACK DO (NPI 1689834707) is an individual emergency medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (OS015075) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Upmc Chautauqua At Wca, and is a graduate of Philadelphia College Of Osteopathic Medicine (2006).
NPPES Registry Identity
Specialties & Licenses
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
Shaun 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 Reassignments
2Medicare enrollment records show Shaun Black reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Erie, PA 16550
- Reassigned Medicare billing, Pennsylvania enrollment
- 962 clinicians in this Medicare group
Jamestown, NY 14701
- Reassigned Medicare billing, New York enrollment
- 233 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 4
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Upmc Chautauqua At Wca
Acute Care Hospitals · Jamestown, NYUpmc Northwest
Acute Care Hospitals · Seneca, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 16550 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.
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 Shaun Black's NPI number?
The NPI number for Shaun Black is 1689834707. It was assigned to this individual provider in the NPPES registry on June 12, 2008.
Where is Shaun Black located?
Shaun Black practices at 201 State St, Erie, PA 16550. The listed phone number is (814) 877-6139.
What is Shaun Black's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Shaun Black enrolled in Medicare?
Yes. Shaun 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 organizations bill Medicare for Shaun Black's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shaun Black reassigns Medicare benefits to 2 organizations: Regional Health Services Inc (Erie, PA) and Great Lakes Physician Practice PC (Jamestown, NY). Each 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 Shaun Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Shaun Black affiliated with any hospitals?
According to CMS data, Shaun Black is affiliated with Upmc Chautauqua At Wca and Upmc Northwest.
When was this NPI record last updated?
The NPPES record for Shaun Black was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Shaun Black, DO · NPI 1689834707
Emergency Medicine physician in Erie, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 12, 2008.
## Identity
- **NPI:** 1689834707 (Entity type: Individual)
- **Enumerated:** June 12, 2008
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** OS015075 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 201 STATE ST, Erie, PA 16550-0002
- **Phone:** (814) 877-6139
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Regional Health Services Inc (NPI 1174520654, Erie, PA); Great Lakes Physician Practice PC (NPI 1730599176, Jamestown, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Philadelphia College Of Osteopathic Medicine, class of 2006
## Record status
- **NPPES last updated:** August 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1689834707) · Data from the CMS NPPES public registry.