DANIEL R GREEN (PA-C) – Physician Assistant, NPI 1144766288
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
627 PHYSICIAN ASSISTANT in AR
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Provider Addresses for DANIEL R GREEN (PA-C)
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 722057101
Phone: (501) 686-8000
Fax: (501) 526-5148
Type: Mailing
550, Club Lane, Conway, Faulkner County, Arkansas, 72034, United States
CONWAY, AR 720343681
Phone: (501) 329-1510
Type: Location
1 Childrens Way # 837
Little Rock, AR 722023500
Phone: (501) 364-1100
Fax: (501) 364-4082
Type: Location
4301 W Markham St # 520-4
Little Rock, AR 722057101
Phone: (501) 686-8962
Fax: (501) 686-5215
Type: Location
800 FAIR PARK BLVD
LITTLE ROCK, AR 722041720
Phone: (501) 404-8007
Fax: (501) 904-3620
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $40.
Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.
Last reported payment date: 2024-11-04 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($22).
Total Amount
$40
General + Research + Ownership
Payments
2
Total payment records
General Amount
$40
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $22 |
| iRhythm Technologies, Inc. | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-03-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170324001314 | I | Physician Assistant | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 19 | 19 | $0 |
Insurance plans in this area (ZIP 72205)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Peripheral Vascular Disease | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | AR | |
| Cardiovascular Disease (Cardiology) | AR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AR | |
| Family Practice | AR | |
| Nurse Practitioner | AR | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | MO | |
| Physician Assistant | AR |
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