Matthew Black, PA
NPI 1891415063 · Medical Physician Assistant · Grangeville, ID
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1891415063
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PA-2620 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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 methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 33 | 28 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 32 | 29 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 27 | 23 |
| Azithromycin | 17 | 17 |
| Triamcinolone Acetonide | 17 | 15 |
| Cyclobenzaprine Hcl | 15 | 15 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim |
Practice location
Mailing address
Additional practice locations (1)
- 22 N Main StKooskia, ID 83539Phone: (208) 926-4776Fax: (208) 926-4696
Registry dates
- Enumerated
- 2022-08-29
- Last updated
- 2023-10-25
- Certified
- 2023-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.