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Kevin Zachary Black

Orthopaedic Surgery β€’ Effingham, IL

Active NPI 1285256909 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1303 W Evergreen Ave Ste 200
Effingham, IL 624011638

Call 2173423400 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1303 W Evergreen Ave Ste 200

Effingham, IL 624011638

Telephone 2173423400
Fax 2173426417
Organization at the Same NPPES Address or Phone
Bonutti Orthopedic Services Ltd Facility NPI 1285687996

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Carilion Medical Center. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Medical School

Wayne State University School Of Medicine

Graduation Year

2020

30-day fills

11 standardized 30-day fills in 2023

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$92 in 2023

The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $35.15 in 2024

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2024.

Guide: How to read an Open Payments record

Years since graduation

6 years (graduated 2020)

CMS Doctors and Clinicians data list 2020 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kevin Black has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Kevin Black as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Effingham and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Kevin Black are from 2023.

9 active clinicians are listed under Orthopaedic Surgery with a practice address in Effingham, IL (1,004 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Part D Prescribers (2023), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $35.15.

Manufacturer Payment Nature Product Type Amount ($)
Medtronic, Inc.
Food and Beverage
In-kind items and services
PRESTIGE LP CERVICAL DISC SYSTEM General $35.15

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2023.

CMS Part D Β· Data Year 2023
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Oxycodone Hcl Oxycodone Hcl 11 45 $91.88 11

Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-08-14
Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

License # reported to NPPES IL 036181434

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - ORTHOPEDIC SURGERY

Medicare Enrollment ID

I20250729003623

Enrollment State Jurisdiction

VA

PECOS Control ID

6507287182

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Carilion Medical Center

101 Elm Ave, Roanoke, VA 240132222

Phone: 5402244380

Carilion Medical Center

101 Elm Ave Se, Roanoke, VA 240132222

Phone: 5402246780

Carilion Medical Center

1906 Belleview Ave Se, Roanoke, VA 240141838

Phone: 5409817000

Carilion Medical Center

1 Health Cir, Lexington, VA 244502448

Phone: 5404638141

Carilion Medical Center

2017 Jefferson St Sw, Roanoke, VA 240142419

Phone: 5409817925

Carilion Medical Center

2017 S Jefferson St, Roanoke, VA 240142419

Phone: 5409817128

Carilion Medical Center

2331 Franklin Rd Sw, Roanoke, VA 240141111

Phone: 5402245170

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

11 listed
Dr. Joseph Ajdinovich , MD

Orthopaedic Surgery

NPI 1144531666

Doctor of Medicine (M.D.)

Dr. Peter Bonutti , MD

Orthopaedic Surgery

NPI 1629021571

Doctor of Medicine (M.D.)

Stacia Dennison , FNP-BC

Nurse Practitioner - Family

NPI 1164626826

Family Nurse Practitioner (Board Certified)

Kayla Deters , APN, FNP-BC

Nurse Practitioner - Family

NPI 1376051292

Advanced Practice Nurse, Family Nurse Practitioner (Board Certified)

Dr. Timothy Gray , MD

Orthopaedic Surgery

NPI 1215984752

Doctor of Medicine (M.D.)

Evan Hakman

Physician Assistant

NPI 1508495847

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location August 14, 2026

Registered at 1303 W EVERGREEN AVE STE 200, EFFINGHAM, IL 624011638 (Tel: 2173423400)

πŸ“
Updated Business Mailing Address August 14, 2026

Registered at PO BOX 372, MATTOON, IL 619380372

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2026

Orthopaedic Surgery (license number reported to NPPES: IL 036181434)

🏒
Secondary Practice Location Registered June 18, 2025

Additional practice office at 2331 Franklin Rd SW, Roanoke, VA 240141111

βœ…
NPI Profile Active May 15, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 15, 2020

Registered at 100 PEACH ST STE 400, ERIE, PA 165071423 (Tel: 8144548287)

πŸ“
Business Mailing Address (Initial Record) May 15, 2020

Registered at 3600 FORBES AVE STE 140, PITTSBURGH, PA 152133410

πŸ‘€
Provider Name / Credentials (Initial Record) May 15, 2020

Recorded as KEVIN BLACK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2020

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration May 15, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1285256909
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2020
Last Update: August 14, 2026
Sole Proprietor: No

Other Orthopaedic Surgery Specialists in Effingham

Healthcare providers in Effingham

Mailing Address

Po Box 372

Mattoon, IL 619380372

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.