DR. CHARLES HENRY BLACK IV D.O.
NPI 1790988087
Orthopaedic Surgery in Sonora, CA

Q: What is Charles Black's NPI number?

The NPI number for Charles Black is 1790988087. It was assigned to this individual provider in the NPPES registry on June 6, 2007. The provider is also known as Dr. Charles Henry Black D.O..

Q: What is Charles Black's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Black was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 06, 2007PECOS EnrolledAccepts Medicare Assignment

1000 GREENLEY RD, SONORA, CA 95370(209) 536-5054 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 12, 2026, Jan 6, 2020, Aug 11, 2016 (3 updates tracked since 2016).

On this page

About Dr. Charles Henry Black Iv D.o. NPPES

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

DR. CHARLES HENRY BLACK IV D.O. (NPI 1790988087) is an individual orthopaedic surgery provider in Sonora, California, licensed in Mississippi (23113) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Gallup Indian Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1790988087

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. CHARLES HENRY BLACK IVCredential: D.O.

Location Address1000 GREENLEY RDSonora, CA 95370-5200

Mailing AddressPo Box 247Laurel, MS 39441-0247 · (601) 649-5990 · Fax (601) 425-7510

Phone(209) 536-5054

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateJune 6, 2007

Last NPPES UpdateJanuary 12, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2026

✔ NPI 1790988087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in MS · 23113✔ Licensed in CA · 20A24530✔ Licensed in MI · 5101016776

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1000 GREENLEY RD, Sonora, CA 95370

Open in Google Maps ↗

Other Names 1

Professional Name (2)Dr. Charles Henry Black D.o.

Other Identifiers 1

Medicaid08107236MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Plan, Inc..Insurance ›

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

Dr. Charles Henry Black Iv D.o. 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 ID42497554

PECOS Enrollment IDI20250128004672, I20251106002947, I20260312003968

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 7

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.

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.

90 services64 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

39 services22 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

35 services23 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

21 services20 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

20 services17 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.

18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Gallup Indian Medical Center

Acute Care Hospitals · Gallup, NM

2/5 CMS rating

OwnershipGovernment - Federal

CMS Certification Number320061

Location516 E Nizhoni BlvdGallup, NM 87301 · Mckinley County

Emergency services Birthing friendly

Carlsbad Medical Center

Acute Care Hospitals · Carlsbad, NM

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number320063

Location2430 West Pierce StreetCarlsbad, NM 88220 · Eddy County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95370 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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.

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.

WYATT STEBBINS PA-C

Physician Assistant