Timothy Black, PA
Surgical Physician Assistant · Vancouver, WA
Timothy Black, PA is a surgical physician assistant with a practice address in Vancouver, Washington, and NPI 1730167271, issued on Jan 5, 2006. Check the license (Washington PA60650228, as entered in NPPES) with the Washington board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Timothy Black
- Credential
- PA
- Primary taxonomy
- Surgical Physician Assistant 363AS0400X
- License number
- PA60650228 WA
Self-reported in NPPES; status is on the state search - Practice location
- 200 NE Mother Joseph PL, Vancouver, WA 98664
- Phone
- (360) 254-6161
- Enumerated
- Jan 5, 2006
- Record last updated
- Aug 7, 2018 (not updated in 8 years: call before relying on the address or phone)
- Fax
- (360) 449-1146
- Medicare enrollment
- Enrolled (PECOS I20160919001707); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 200 NE Mother Joseph PL
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Tracy Aiello, OTRHand Occupational Therapist1629137716
- Rebecca Babcock, PA-CSurgical Physician Assistant1578508552
- Michael Baer, BSEE, MSPTPhysical Therapist1477796746
- Natalie Boodin, M.D.Physical Medicine & Rehabilitation Physician1124223516
- Christopher Carson, P.A.-C.Surgical Physician Assistant1912942079
- Amy Charlton, OTR, CHTHand Occupational Therapist1255315735
Verify Timothy Black in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Washington board licenses this profession
Search for license PA60650228Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
34% fewer Medicare Part D claims than the average surgical physician assistant in 2024
200 Medicare Part D claims for 126 beneficiaries, against an average of 304 among the 10,174 providers of this specialty who prescribed in Part D. 159 claims were for opioids.
Most prescribed
- Oxycodone Hcl110 claims
- Hydrocodone-Acetaminophen19 claims
- Hydromorphone Hcl18 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Northwest Surgical Specialists PCPortland, OR
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Surgical Physician Assistant providers in Washington
There are 609 surgical physician assistant records in Washington.
Other surgical physician assistant records in Washington
- Elizabeth Abecassis, PA-CPuyallup, WA1669708277
- Lynn Adraincem, PA-CIssaquah, WA1730439456
- Krystle Agtarap, PAOlympia, WA1972907590
- Carlos Aguero, P.A.Mount Vernon, WA1598707218
- Steven Alcocer, PA-CMount Vernon, WA1891014502
- Aleisha Allen, PA-CMount Vernon, WA1700520087
- Jillanna Allen, PA-C, MS, ATC/LWenatchee, WA1891761177
- Nathan Ambrose, PA-CVancouver, WA1285229500
- Charles Anderegg, PACShelton, WA1124056437
- Brooke Angelo, PA-CRenton, WA1477096535
Common questions
What is Timothy Black, PA's NPI number?
Timothy Black, PA's National Provider Identifier (NPI) is 1730167271, issued on Jan 5, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Timothy Black, PA located?
The NPPES record lists a practice address at 200 NE Mother Joseph PL, Vancouver, WA, 98664. Phone: (360) 254-6161. Providers update this record themselves, so call before visiting.
How can I verify Timothy Black, PA's license?
NPPES lists Washington license number PA60650228, as entered by the provider. Search the Washington board that licenses this profession; the NPPES record confirms identity only.
How much does Timothy Black, PA prescribe under Medicare Part D?
In 2024, Timothy Black, PA had 200 Medicare Part D claims for 126 beneficiaries; the average among surgical physician assistant prescribers was 304. Part D covers Medicare prescriptions only.
What is Timothy Black, PA's MIPS final score?
The 2023 MIPS final score is 100 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.