Doctor profile · Federal record
Dr. Kelly Black
Physician Assistant · Athletic Trainer · Clearwater, FL
- NPI 1508384736
- Accepts Medicare
- 4 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
430 Morton Plant St Ste 301
Clearwater, FL 337563395
(813) 978-9700 - Mailing address
-
13020 N Telecom Pkwy
Temple Terrace, FL 336370915
Credentials & registration
- NPI registered
- September 2017 — 9 yrs on file
- Profile last updated
- December 30, 2024
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- Medicaid
- FL #116670800
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1508384736. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
27
Distinct HCPCS
1
Medicare allowed
$2,975
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 27 | 27 | $110 |
In context: peer comparison
Among 30 peers in Clearwater Physician Assistant, average services per provider: 119. This provider delivers 0.2× the peer median.Open Payments
Industry payments received
All-time total
$143
Transactions
4
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Smith+Nephew, INC. | 3 | $129.20 | |
| Coastal Medical Technologies LLC | 1 | $13.60 |
By nature of payment
Frequently asked questions
What is Dr. Kelly Black's medical specialty?
Dr. Kelly Black practices Physician Assistant in Clearwater, FL.
Where does Dr. Kelly Black practice?
Dr. Kelly Black practices at 430 Morton Plant St Ste 301, Clearwater, FL 337563395. Office phone: 8139789700.
What is Dr. Kelly Black's NPI?
Dr. Kelly Black's National Provider Identifier (NPI) is 1508384736, issued by NPPES.
Does Dr. Kelly Black accept Medicare assignment?
Yes. Dr. Kelly Black accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kelly Black commonly perform?
Top Medicare-reported procedures in 2023: Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222). Source: CMS Medicare Physician & Other Practitioners file.