CHARLES DEWAYNE BLACK D.O.
NPI 1891757860
Emergency Medicine - Emergency Medical Services in Ardmore, OK

Q: What is Charles Black's NPI number?

The NPI number for Charles Black is 1891757860. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Q: What is Charles Black's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charles Black was last updated on November 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since April 05, 2006PECOS Enrolled

1011 14TH AVE NW, ER DEPT., ARDMORE, OK 73401(580) 220-6415(405) 749-4561 Get Directions Write a Review

NPPES record last updated: November 9, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Charles Dewayne Black D.o. NPPES

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

CHARLES DEWAYNE BLACK D.O. (NPI 1891757860) is an individual emergency medical services provider in Ardmore, Oklahoma, licensed in Oklahoma (3023) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891757860

Entity TypeIndividualMale

Primary Taxonomy207PE0004X

Provider Legal NameCHARLES DEWAYNE BLACKCredential: D.O.

Location Address1011 14TH AVE NW, ER DEPT.Ardmore, OK 73401-1828

Mailing Address4401 W Memorial Rd, Suite 121Oklahoma City, OK 73134-1785 · (405) 751-4664 · Fax (405) 749-4561

Phone(580) 220-6415

Fax(405) 749-4561

Sole ProprietorNo

Enumeration DateApril 5, 2006

Last NPPES UpdateNovember 9, 2007

✔ NPI 1891757860 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 · 3023

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.

1011 14TH AVE NW, Ardmore, OK 73401

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Other Identifiers 1

Medicare UPINF40828OK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Dewayne Black D.o. 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.

Medicare Billing Reassignments

Medicare enrollment records show Charles Black reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Exceptional Physicians Group Ardmore Hospital PLLC

1.3 mi

Emergency Medicine

1641 WOERZ WAY
Ardmore, OK 73401

Reassigned Medicare billing, Oklahoma enrollment
46 clinicians in this Medicare group

NPI 1588427462 (469) 341-7800

Nes Oklahoma, Inc.

175 mi

Emergency Medicine

1900 N 14TH ST
Ponca City, OK 74601

Reassigned Medicare billing, Oklahoma enrollment
130 clinicians in this Medicare group

NPI 1528040722 (580) 765-3321

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.

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.

51 services48 patients

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.

40 services39 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

19 services18 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73401 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.

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.

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