Timothy Black, PA
NPI 1730167271ActiveIndividual· Physician Assistant, Surgical· Vancouver, WA
Physician Assistant, Surgical (PA) with Northwest Surgical Specialists PC, practicing in Vancouver, Washington. 190 Medicare patients in 2024, $32,852 paid; nearly all of their 200 Part D prescriptions were generic (97%). Lists Legacy Salmon Creek Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1730167271 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jan 5, 2006 |
| Last updated in NPPES | Aug 7, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | — | WA |
| Physician Assistant | 363A00000X | PA60650228 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (OR); Practitioner - Physician Assistant (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 190 |
|---|---|
| Services billed | 2,393 across 47 procedure codes |
| Paid by Medicare | $32,852 |
Part D prescriptions in 2024
| Prescriptions (claims) | 200 · 200 30-day fills |
|---|---|
| Patients | 126 |
| Total drug cost | $1,605 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 1993 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Northwest Surgical Specialists PCVancouver, WA · 119 clinicians
Hospital affiliations
- Legacy Salmon Creek Medical CenterVancouver, WA
- Peacehealth Southwest Medical CenteVancouver, WA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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