DR. SHELDON J BLACK M.D.
NPI 1922012699
Otolaryngology in Birmingham, AL

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment
79.36/100
CMS Quality Rating
833 SAINT VINCENTS DR, POB# 3 SUITE 402, BIRMINGHAM, AL 35205(205) 933-9236(205) 933-9213 Get Directions Write a Review

NPPES record last updated: February 11, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sheldon J Black M.d. NPPES

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

DR. SHELDON J BLACK M.D. (NPI 1922012699) is an individual otolaryngology provider in Birmingham, Alabama, licensed in Alabama (18338) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (1988).

NPPES Registry Identity

NPI1922012699
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. SHELDON J BLACKCredential: M.D.
Location Address833 SAINT VINCENTS DR, POB# 3 SUITE 402Birmingham, AL 35205-1606
Mailing Address833 Saint Vincents Dr, Pob# 3 Suite 402Birmingham, AL 35205-1606 · (205) 933-9236 · Fax (205) 933-9213
Fax(205) 933-9213
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1988
Enumeration DateJuly 28, 2006
Last NPPES UpdateFebruary 11, 2015
NPI 1922012699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in AL · 18338
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
833 SAINT VINCENTS DR, Birmingham, AL 35205

Other Identifiers 3

Medicaid000022986AL
Medicare UPINE84665AL
Medicare PIN000022986AL

Accepted 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. Sheldon J Black M.d. 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 ID4789778135
PECOS Enrollment IDI20100909000070
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 25

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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
760 services32 patients
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.
404 services282 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
276 services206 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
170 services32 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
141 services116 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
133 services98 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35205 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

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.

79.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.61
Promoting Interoperability100
Improvement Activities40
Cost44.59

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Compressor, air power source for equipment which is not self-contained or cylinder driven E0565
DME-Other DME · category DE000N
2 suppliers13 claims13 services$23.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
833 SAINT VINCENTS DR, SUITE 300 POB III
BIRMINGHAM, AL 35205
Audiologist-Hearing Aid Fitter
833 SAINT VINCENTS DR, POB#3 STE 402
BIRMINGHAM, AL 35205
Physical Therapist
833 SAINT VINCENTS DR, POB 111, SUITE 205
BIRMINGHAM, AL 35205
Internal Medicine
833 SAINT VINCENTS DR, SUITE 300
BIRMINGHAM, AL 35205
Internal Medicine (Gastroenterology)
833 SAINT VINCENTS DR, POB III SUITE 300
BIRMINGHAM, AL 35205
Audiologist
833 SAINT VINCENTS DR
BIRMINGHAM, AL 35205
Orthopaedic Surgery
833 SAINT VINCENTS DR, SUITE 403
BIRMINGHAM, AL 35205
Orthopaedic Surgery (Sports Medicine)
833 SAINT VINCENTS DR, BLDG. 3, SUITE 403
BIRMINGHAM, AL 35205

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 Sheldon Black's NPI number?

The NPI number for Sheldon Black is 1922012699. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Sheldon Black located?

Sheldon Black practices at 833 Saint Vincents Dr Pob# 3 Suite 402, Birmingham, AL 35205. The listed phone number is (205) 933-9236.

What is Sheldon Black's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Sheldon Black enrolled in Medicare?

Yes. Sheldon 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.

What insurance does Sheldon Black accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Insurance Company and UnitedHealthcare list Sheldon 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 Sheldon Black was last updated on February 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.