Kaelan Black, M.D.
NPI 1215226469 · Pediatric Otolaryngology Physician · Fairfax, VA
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kaelan Black, M.D. is a Pediatric Otolaryngology Physician provider in Fairfax, VA (NPI 1215226469).
Provider details
- NPI number
- 1215226469
- Entity type
- Individual
- Primary specialty
- Pediatric Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MD223309 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
147 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 42 | $140 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 38 | $99 |
| Removal of Impacted Ear Wax69210 | 35 | $50 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 18 | $182 |
| Diagnostic Exam of Nasal Passages Using an Endoscope31231 | 14 | $204 |
Typical Medicare-allowed amounts for these services range $50–$204 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$41 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 501 N Graham St Ste 585Portland, OR 97227-1654Phone: (503) 413-3690
Registry dates
- Enumerated
- 2011-03-28
- Last updated
- 2025-08-29
- Certified
- 2025-08-29
Frequently asked questions
- What is Kaelan Black's NPI number?
- Kaelan Black's National Provider Identifier (NPI) is 1215226469, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kaelan Black's specialty?
- Kaelan Black is listed in the NPPES registry with a primary specialty of Pediatric Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Kaelan Black located?
- Kaelan Black's practice location on file with NPPES is 3801 University Dr Ste 300, Fairfax, VA 22030-2503.
- What is Kaelan Black's phone number?
- The practice phone number listed in the NPPES registry for Kaelan Black is (703) 383-8130.
- Does Kaelan Black accept Medicare?
- Kaelan Black is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kaelan Black's NPI active?
- Yes — Kaelan Black's NPI (1215226469) is active in the NPPES registry as of the last update on 2025-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.