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Active NPI 1295725794 Individual Practitioner Female Practitioner

Dr. Dalliah Mashon Black , MD

Surgery • Rochester, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Dalliah Black, MD is a certified Surgery practicing in Rochester, MN. With approximately 28 years of clinical experience since graduating from University Of North Carolina At Chapel Hill School Of Medicine in 1998, Dr. Black delivers high-quality medical care to the local community at 200 1ST ST SW.

Dr. Black is affiliated with Mayo Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, partial removal of breast, biopsy or removal of lymph nodes of under the arm, open procedure. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

200 1st St Sw

Rochester, MN 559050001

Telephone 5072842511
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of North Carolina At Chapel Hill School Of Medicine

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Rochester, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
28 Yrs +13.8 yrs vs City Avg
City Avg: 14.2 Yrs
State Avg: 23.0 Yrs
Regional Practice Density
216 Specialists

Practicing in Rochester, MN (770 Statewide)

Telehealth Adoption Rate
6.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
82.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Black (28 Years) 28 Yrs
Rochester Specialty Average (14.2 Years) 14.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
56 56 $621.00 $210.94
19301 Partial removal of breast
40 40 $3700.16 $579.27
38525 Biopsy or removal of lymph nodes of under the arm, open procedure
29 29 $1563.62 $211.80
38900 Lymph node imaging during surgery
26 26 $919.00 $121.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
12 12 $458.00 $174.21

Medical Specialties & State Licenses

CMS Verified: 2023-09-27
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MN 74430

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License MA 223910

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License CT 044471

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Surgical Oncology

NUCC Taxonomy Code: 2086X0206X

State License TX 43694

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
286882001 (MDACC) (TX)
Commercial Insurance / Payer ID Bcbs Ma
J28934 (MA)
Commercial Insurance / Payer ID Tufts Health Plan
468419 (MA)
Commercial Insurance / Payer ID Bcbs (Mdacc)
8DB287 (TX)

Hospital & Practice Group Affiliations

Mayo Clinic

201 W Ctr St, Rochester, MN 559023003

Phone: 5072555123

Mayo Clinic

200 1st St Sw, Rochester, MN 559050001

Phone: 5072842511

Secondary Practice Locations

17183 Ih 45 South, Mob 1, Suite 330

The Woodlands, TX 77385

Phone: 9362703655

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Emily Leasure , MD

Internal Medicine

NPI 1003005836

Doctor of Medicine (M.D.)

Nathanael Bailey

Pathology - Clinical Pathology/Laboratory Medicine

NPI 1003013814
Nicole Nipper , NP

Nurse Practitioner

NPI 1003016940

Nurse Practitioner

Brandi D'souza , NP

Nurse Practitioner

NPI 1003019696

Nurse Practitioner

Dr. Kim Schutterle , MD

Emergency Medicine

NPI 1003027087

Doctor of Medicine (M.D.)

NPI 1003036427

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location September 27, 2023

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)

📍
Updated Business Mailing Address September 27, 2023

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)

📍
Updated Practice Location August 17, 2022

Registered at 17183 IH 45 SOUTH, MOB 1, SUITE 330, THE WOODLANDS, TX 77385 (Tel: 9362703655)

📍
Updated Business Mailing Address August 17, 2022

Registered at 17183 IH 45 SOUTH, MOB 1, SUITE 330, THE WOODLANDS, TX 77385 (Tel: 9362703655)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2022

Surgery (License #223910 in MA)

NPI Profile Active March 01, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 01, 2012

Registered at 1515 HOLCOMBE BLVD, HOUSTON, TX 770304009 (Tel: 7137926161)

📍
Updated Business Mailing Address March 01, 2012

Registered at PO BOX 4439, HOUSTON, TX 772104439 (Tel: 7137922991)

👤
Provider Name / Credentials Updated March 01, 2012

Recorded as DALLIAH BLACK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2012

Surgery (License #044471 in CT)

🟢
Initial NPI Registration & Enumeration October 26, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295725794
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2005
Last Update: September 27, 2023
Sole Proprietor: No

Mailing Address

200 1st St Sw

Rochester, MN 559050001

Phone: 5072842511

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.