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JEFFREY LANE BLACK
NPI 1700957990
Emergency Medicine - Emergency Medical Services in Tulsa, OK

Active since November 11, 2006PECOS Enrolled
91.24/100
CMS Quality Rating
1717 S UTICA AVE STE A, TULSA, OK 74104(918) 748-7557(918) 748-7514 Get Directions Write a Review

NPPES record last updated: April 13, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeffrey Lane Black NPPES

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

JEFFREY LANE BLACK (NPI 1700957990) is an individual emergency medical services provider in Tulsa, Oklahoma, licensed in Oklahoma (16468) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700957990
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameJEFFREY LANE BLACK
Location Address1717 S UTICA AVE STE ATulsa, OK 74104-5346
Mailing Address1515 N Harvard Ave, Ste ETulsa, OK 74115-4957 · (918) 832-6049 · Fax (918) 832-6055
Phone(918) 748-7557
Fax(918) 748-7514
Sole ProprietorNo
Enumeration DateNovember 11, 2006
Last NPPES UpdateApril 13, 2010
✔ NPI 1700957990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in OK · 16468
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
1717 S UTICA AVE STE A, Tulsa, OK 74104
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Other Identifiers 2

Medicare PIN243714310OK
Medicare PIN247715601OK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Lane Black is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74104 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

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.

91.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.13
Promoting Interoperability100
Improvement Activities40

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.

DR. CORY BRIT KEBERT M.D.
Emergency Medicine
1717 S UTICA AVE STE A
TULSA, OK 74104
Tulsa County (981) 748-7557
WILLIAM CRAIG SANFORD MD
Emergency Medicine
1717 S UTICA AVE STE A
TULSA, OK 74104
Tulsa County (918) 748-7557
SHON D. KENDALL D.O.
Emergency Medicine (Emergency Medical Services)
1717 S UTICA AVE STE A
TULSA, OK 74104
Tulsa County (918) 748-7557
CHANCE DODSON MD
Emergency Medicine
1717 S UTICA AVE STE A
TULSA, OK 74104
Tulsa County (918) 358-6064
MISTY DAWN ANDERSON NP
Nurse Practitioner (Family)
1717 S UTICA AVE STE A
TULSA, OK 74104
Tulsa County (918) 748-7557
THOMAS FRASIER ENGLE PA-C
Physician Assistant (Medical)
1717 S UTICA AVE STE A
TULSA, OK 74104
Tulsa County (918) 748-7557
DR. SHAUN S. JUNG-PETERS D.O.
Family Medicine
1717 S UTICA AVE STE A
TULSA, OK 74104
Tulsa County (918) 748-1300
ZACHARY ALAN FOWLER D.O.
Family Medicine
1717 S UTICA AVE STE A
TULSA, OK 74104
Tulsa County (918) 748-7557

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 Jeffrey Black's NPI number?

The NPI number for Jeffrey Black is 1700957990. It was assigned to this individual provider in the NPPES registry on November 11, 2006.

Where is Jeffrey Black located?

Jeffrey Black practices at 1717 S Utica Ave Ste A, Tulsa, OK 74104. The listed phone number is (918) 748-7557.

What is Jeffrey Black's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Jeffrey Black enrolled in Medicare?

Yes. Jeffrey Black is registered in the Medicare PECOS enrollment system.

What insurance does Jeffrey Black accept?

Health plans from Medica list Jeffrey 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 Jeffrey Black was last updated on April 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.