SHAUN BLACK DO
NPI 1689834707
Emergency Medicine in Erie, PA

Active since June 12, 2008PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 31, 2023, May 24, 2021 (2 updates tracked since 2021).

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

NPI1689834707
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSHAUN BLACKCredential: DO
Location Address201 STATE STErie, PA 16550-0002
Mailing Address201 State StErie, PA 16550-0002
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2006
Enumeration DateJune 12, 2008
Last NPPES UpdateJanuary 31, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2023
NPI 1689834707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in PA · OS015075
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
201 STATE ST, Erie, PA 16550

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

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.

PECOS PAC ID8628109113
PECOS Enrollment IDI20201013002341
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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
177 services171 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
110 services107 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
33 services33 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
11 services11 patients

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, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330239
Location207 Foote AvenueJamestown, NY 14701 · Chautauqua County
Emergency services Birthing friendly

Upmc Northwest

Acute Care Hospitals · Seneca, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390091
Location100 Fairfield DriveSeneca, PA 16346 · Venango County
Emergency services Birthing friendly

Physician 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.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

Hospitalist
201 STATE ST
ERIE, PA 16550
Physical Therapy Assistant
201 STATE ST
ERIE, PA 16550
Nurse Anesthetist, Certified Registered
201 STATE ST
ERIE, PA 16550
Nurse Anesthetist, Certified Registered
201 STATE ST
ERIE, PA 16550
Emergency Medicine
201 STATE ST
ERIE, PA 16550
Speech-Language Pathologist
201 STATE ST
ERIE, PA 16550
Physician Assistant (Medical)
201 STATE ST
ERIE, PA 16550
Emergency Medicine
201 STATE ST
ERIE, PA 16550

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.

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 January 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.