Timothy Roger Black, DPM
NPI 1578753091ActiveIndividual· Podiatrist· Idaho Falls, ID
Podiatrist (DPM) in Idaho Falls, Idaho, trained at California School of Podiatric Medicine (class of 2000). 468 Medicare patients in 2024, $73,441 paid; all of their 264 Part D prescriptions were generic. Kerecis Limited reported $215.34 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1578753091 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPM |
| Sole proprietor | No |
| NPI issued | Jul 31, 2007 |
| Last updated in NPPES | Oct 31, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | P-169 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Podiatry (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 468 |
|---|---|
| Services billed | 1,892 across 43 procedure codes |
| Paid by Medicare | $73,441 |
Part D prescriptions in 2024
| Prescriptions (claims) | 264 · 368 30-day fills |
|---|---|
| Patients | 132 |
| Total drug cost | $2,131 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | California School of Podiatric Medicine |
|---|---|
| Graduation year | 2000 |
| Medicare specialty | Podiatry |
Medical group
- Mountain View Hospital LLCIdaho Falls, ID · 276 clinicians
Hospital affiliations
- Eastern Idaho Regional Medical CenterIdaho Falls, ID
- Mountain View HospitalIdaho Falls, ID
Industry payments (Open Payments)
- 2025$215.34 · 9 payments from 1 company
- 2024$121.11 · 6 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Kerecis Limited | $215.34 | 9 |
What the 2025 payments were for
- Food and Beverage$215.34 · 9 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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