Active NPI 1720036387 Individual Practitioner Male Practitioner

Dr. Michael Jason Black , MD

Surgery • Appleton, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Black, MD is a certified Surgery practicing in Appleton, WI. With approximately 24 years of clinical experience since graduating from Medical College Of Wisconsin in 2002, Dr. Black delivers high-quality medical care to the local community at 2000 E MILESTONE DR.

Dr. Black is affiliated with Fox Valley Surgical Associates Ltd and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of polyps or growths of large bowel using an endoscope with mechanical snare, colorectal cancer screening; colonoscopy on individual at high risk, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2000 E Milestone Dr

Appleton, WI 549136701

Telephone 9207318131

Fax 9208320444

Associated Practice Facility / Clinic

🏢 Fox Valley Surgical Associates Ltd Facility NPI 1376594952

Medicare Profile & Education

Medical School

Medical College Of Wisconsin

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Appleton, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +4.9 yrs vs City Avg

City Avg: 19.1 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

22 Specialists

Practicing in Appleton, WI (765 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

90.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Black (24 Years) 24 Yrs

Appleton Specialty Average (19.1 Years) 19.1 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
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	69	69	$3426.00	$228.75
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	32	32	$2196.00	$163.08
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$237.00	$85.36
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	18	$2157.00	$85.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$364.00	$120.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$541.00	$155.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$359.00	$103.98
91010 Study of esophagus to assess movement	15	15	$796.00	$60.06
49505 Repair of groin hernia (5 years or older)	12	12	$4115.00	$463.99
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$3426.00	$229.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	57	57	$3294.00	$231.74
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	44	44	$2112.00	$163.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$520.00	$156.17
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	27	$2074.00	$91.19
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$228.00	$85.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$350.00	$120.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$345.00	$104.81
91010 Study of esophagus to assess movement	11	11	$765.00	$60.73
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	11	11	$1910.00	$117.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	72	71	$3198.00	$236.10
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	35	35	$2050.00	$168.88
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	27	$2014.00	$90.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$340.00	$115.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$505.00	$153.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$335.00	$105.76
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$221.00	$86.36
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	12	12	$1854.00	$129.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	92	92	$3093.26	$238.04
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	35	34	$1986.57	$172.35
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	32	$1948.13	$94.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	20	$330.00	$124.32
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$214.13	$87.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$489.57	$160.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$324.00	$107.01
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	17	17	$1794.12	$134.28
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	16	$1527.06	$88.66
45380 Biopsy of large bowel using an endoscope	15	15	$2436.33	$96.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	86	86	$3015.00	$244.95
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	32	$1900.00	$101.39
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	28	28	$1976.79	$172.00
99213 Established patient office or other outpatient visit, typically 15 minutes	18	15	$210.00	$70.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$315.00	$99.15
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	12	12	$1750.00	$154.33
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$1975.00	$156.51
45380 Biopsy of large bowel using an endoscope	12	12	$2385.00	$89.80
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$385.00	$97.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	90	88	$3015.00	$244.69
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	42	41	$1867.62	$102.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$299.03	$104.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$298.15	$99.96
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	24	24	$1750.00	$140.33
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$199.55	$71.06
91010 Study of esophagus to assess movement	15	15	$700.00	$65.11
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	15	14	$2100.00	$171.83
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	12	$1490.00	$104.94
45380 Biopsy of large bowel using an endoscope	12	12	$2385.00	$67.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	74	74	$3015.00	$245.78
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	49	48	$1730.00	$98.78
99231 Follow-up hospital inpatient care per day, typically 15 minutes	36	17	$175.00	$37.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$290.00	$100.73
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	25	24	$1750.00	$157.10
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	25	$1490.00	$100.97
99213 Established patient office or other outpatient visit, typically 15 minutes	25	25	$195.00	$69.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$285.00	$103.25
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	17	16	$2100.00	$168.01
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	16	16	$2100.00	$170.02
45380 Biopsy of large bowel using an endoscope	13	13	$2385.00	$126.47
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$2100.00	$179.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	60	60	$2940.00	$248.95
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	49	45	$1720.00	$94.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	38	$270.00	$100.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$290.00	$102.71
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$185.00	$67.26
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	20	$1485.00	$96.01
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	19	19	$2000.00	$174.67
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$2000.00	$179.71
45380 Biopsy of large bowel using an endoscope	13	13	$2285.00	$126.86
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	13	13	$1750.00	$134.59
91010 Study of esophagus to assess movement	13	13	$815.00	$62.95

Medical Specialties & State Licenses

CMS Verified: 2025-07-22

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WI 46688-020

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 WI 46688

Hospital & Practice Group Affiliations

Fox Valley Surgical Associates Ltd

2000 E Milestone Dr, Appleton, WI 549136701

Phone: 9207318131

Practice Associates & Co-Workers

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

40 Associated Practitioners

Alexis Welhouse , CST

Specialist/Technologist, Other - Surgical Technologist

NPI 1013763556

Dr. Philip Vogt , MD

Surgery

NPI 1013909647

Doctor of Medicine (M.D.)

Jessica Buchberger , CST

Specialist/Technologist, Other - Surgical Technologist

NPI 1023564044

Dr. Alexander Tretinyak , MD

Surgery - Vascular Surgery

NPI 1073566030

Doctor of Medicine (M.D.)

Janene Ray , ST

Specialist/Technologist, Other - Surgical Technologist

NPI 1093370363

Jeanne Brochtrup , CST

Specialist/Technologist, Other - Surgical Technologist

NPI 1093708836

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location July 22, 2025

Registered at 2000 E MILESTONE DR, APPLETON, WI 549136701 (Tel: 9207318131)

📍

Updated Business Mailing Address July 22, 2025

Registered at 2000 E MILESTONE DR, APPLETON, WI 549136701 (Tel: 9207318131)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2025

Surgery (License #46688 in WI)

✅

NPI Profile Active October 27, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location October 27, 2008

Registered at 1818 N MEADE ST, SUITE 240 WEST, APPLETON, WI 549113496 (Tel: 9207318131)

📍

Updated Business Mailing Address October 27, 2008

Registered at 1818 N MEADE ST, SUITE 240 WEST, APPLETON, WI 549113496 (Tel: 9207318131)

👤

Provider Name / Credentials Updated October 27, 2008

Recorded as MICHAEL BLACK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2008

Surgery (License #46688-020 in WI)

🟢

Initial NPI Registration & Enumeration May 05, 2006

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: 1720036387

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 05, 2006

Last Update: July 22, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2000 E Milestone Dr

Appleton, WI 549136701

Phone: 9207318131

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.