GARY ALAN GREEN (MD) – Family Medicine Physician, NPI 1154345254
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
13,237 FAMILY PRACTICE in CA
Provider Addresses for GARY ALAN GREEN (MD)
15200 W Sunset Blvd Ste 107
Pacific Palisades, CA 902723620
Phone: (310) 459-7736
Fax: (310) 230-0284
Type: Location
Alma Real Drive, Pacific Palisades, Los Angeles, Los Angeles County, California, 90402, United States
PACIFIC PALISADES, CA 902723792
Phone: (310) 829-8923
Fax: (424) 212-5936
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 $47.
Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Lilly USA, LLC ($26).
Total Amount
$47
General + Research + Ownership
Payments
2
Total payment records
General Amount
$47
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $26 |
| AstraZeneca Pharmaceuticals LP | $21 |
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: 2004-08-07
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20040807000241 | I | Family Practice | CA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 307 | 156 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 157 | 106 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 78 | 78 | $0 |
| G0008 | Administration of influenza virus vaccine | 46 | 46 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 45 | 39 | $0 |
Insurance plans in this area (ZIP 90272)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | CA | 90670 | Pneumococcal vaccine for injection into muscle | 31 | 31 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Emergency Medicine | CA | |
| Internal Medicine | NY | |
| Emergency Medicine | CA | |
| Physician Assistant | TX | |
| - | CA | |
| - | CA | |
| N E U R O S U R G E R Y | CA | |
| - | CA | |
| - | CA |
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