Trevor Elan Black, D.P.M.
Podiatry (CMS) · Moscow, ID
At a glance
623 S Main St Ste 1, Moscow, ID 83843-3042
Published activity: Removal of nail tissue · Removal of tissue · Removal or shaving of skin growth. View counts and coverage
NPPES record updated Sep 22, 2026. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
623 S Main St Ste 1Moscow, ID 83843-3042
Additional reported practice locations
700 S Main StMoscow, ID 838433046
Phone: 2088824511 20 Glenlake Pkwy
Kaiser Permanente Glenlake Medical Center
Atlanta, GA 303283473
Phone: 8183261058
Education & affiliations
- Medical / professional school
- Western Un Of Hlth Sciences, Col Of Podiatric Med
- Graduation year
- 2013
- CMS specialties
- Podiatry
Practice groups
- Matrix Rehabilitation-Georgia Inc
- Physiotherapy Associates Inc
- The Southeast Permanente Medical Group
Reported hospital affiliations
- Saint Joseph's Hospital Of Atlanta, Inc Atlanta, GA
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Source: CMS Facility Affiliation Data · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
| Procedure category | Published Medicare activity |
|---|---|
| Removal of nail tissue | 1-10 |
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Service-mix comparison is unavailable for this NPI in the imported Medicare service file.
Industry-reported general payments
No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Podiatry (CMS)
- Taxonomy code
- 213ES0103X
- Enumeration date
- Apr 15, 2013
- Record updated
- Sep 22, 2026
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- D.P.M.
Reported taxonomies and licenses
213ES0103X · Primary
License reported: 3381305 ID
390200000X
213ES0103X
License reported: POD001289 GA
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
623 S Main St Ste 1Moscow, ID 83843-3042
- Phone
- (208) 882-2011
Mailing address
PO BOX 8007MOSCOW, ID 838430507
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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