DR. ROGER LEROY GREEN (MD) – Family Medicine Physician, NPI 1275537912

DR. ROGER LEROY GREEN (MD) is a healthcare provider. based in Newport, Arkansas. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. R4063 (AR). The NPI Number for DR. ROGER LEROY GREEN (MD) is 1275537912

Main info

Male
66 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROGER LEROY GREEN (MD)
NPI
1275537912
Phone
Not provided
Address
1200 MCLAIN ST
Enumeration Date
10 June 2005
Last Update Date
24 February 2012

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
8705230190
Graduation Year
1960 (66 years ago)
PAC ID
8325023443
Group Practice PAC ID
4880688654
Professional Enrollment ID
I20040623000936
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

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Provider Addresses for DR. ROGER LEROY GREEN (MD)

  • 1200, McLain Street, Newport, Jackson County, Arkansas, 72112, United States

    NEWPORT, AR 721123534

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72112)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880688654View full group profile
NameSpecialtyState
Nurse PractitionerAR
P S Y C H I A T R YWY
Physician AssistantAR
Nurse PractitionerAR
-AR
Family PracticeAR
Emergency MedicineAR
Family PracticeAR
-AR
Physician AssistantAR

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Frequently asked questions

What is the 10-digit NPI for DR. ROGER LEROY GREEN (MD)?
DR. ROGER LEROY GREEN (MD) — NPI 1275537912 — is the standard way to identify this listing.
Is DR. ROGER LEROY GREEN (MD) still practicing?
DR. ROGER LEROY GREEN (MD) is currently listed as active in the public NPI registry.
What is DR. ROGER LEROY GREEN (MD) best known for clinically?
Directory data describes DR. ROGER LEROY GREEN (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. ROGER LEROY GREEN (MD) based?
DR. ROGER LEROY GREEN (MD) is tied to Newport, Arkansas in the data we show; additional addresses may exist on the full record.
Is the information about DR. ROGER LEROY GREEN (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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