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GRACE ELIZABETH BLACK MD
NPI 1922395466
Pediatrics in Rochester, NY

Active since July 05, 2011PECOS Enrolled
601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 275-2821(585) 461-1231 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Grace Elizabeth Black Md NPPES

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

GRACE ELIZABETH BLACK MD (NPI 1922395466) is an individual pediatrics provider in Rochester, New York, licensed in New York (285643) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922395466
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameGRACE ELIZABETH BLACKCredential: MD
Location Address601 ELMWOOD AVERochester, NY 14642-0001
Mailing Address601 Elmwood Ave Box 635Rochester, NY 14642-0001 · (585) 275-2821 · Fax (585) 461-1231
Phone(585) 275-2821
Fax(585) 461-1231
Sole ProprietorNo
Enumeration DateJuly 5, 2011
Last NPPES UpdateJune 29, 2023
✔ NPI 1922395466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NY · 285643✔ Licensed in AZ · R72558
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
601 ELMWOOD AVE, Rochester, NY 14642
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Elizabeth Black Md 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 Reassignment

Medicare enrollment records show Grace Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatric Group Univ Of Rochester
Same address
Pediatric Hematology-Oncology
601 ELMWOOD AVE
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 88 clinicians in this Medicare group
NPI 1083271787 (585) 275-2981

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

CARIE E BRADT RPA-C
Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-6070
DR. RITA DADIZ DO
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Monroe County (585) 275-7787
DR. SCOTT ROSS SCHIFFMAN M.D.
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Monroe County (585) 275-1128
SARAH ANNE ROSSI FNP
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Monroe County (585) 279-5100
JIMENA CUBILLOS MD
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Monroe County (585) 275-3342
MRS. ANNE SCHERBERGER KEEFER RN NP
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Monroe County (585) 275-5307
SCOTT OVERHOLT DDS
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Monroe County (585) 275-7978
MS. SARAH L AVERILL MD
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-2100

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 Grace Black's NPI number?

The NPI number for Grace Black is 1922395466. It was assigned to this individual provider in the NPPES registry on July 5, 2011.

Where is Grace Black located?

Grace Black practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 275-2821.

What is Grace Black's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Grace Black enrolled in Medicare?

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

Which organization bills Medicare for Grace Black's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Black reassigns Medicare benefits to Pediatric Group Univ Of Rochester (Rochester, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Grace Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Grace Black was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.