KYLE GREEN (PA-C) – Surgical Physician Assistant, NPI 1194246041
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for KYLE GREEN (PA-C)
22431 ANTONIO PKWY # B160-613
RANCHO SANTA MARGARITA, CA 926882804
Phone: (855) 727-2251
Fax: (855) 727-2251
Type: Location
1190, 5th Avenue, Watervliet, City of Watervliet, Albany County, New York, 12189, United States
GUGGENHEIM PAVILION-TWO WEST
NEW YORK, NY 10029
Phone: (212) 659-6800
Fax: (212) 659-6818
Type: Mailing
Mount Sinai Emergency Medicine, 1190, 5th Avenue, Manhattan Community Board 11, Manhattan, New York County, New York, 10035, United States
NEW YORK, NY 100296503
Phone: (212) 659-6800
Fax: (212) 659-6818
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $1,345.
Total Amount is formed as General ($1,345) + Research ($0) + Ownership ($0) = $1,345.
Last reported payment date: 2024-10-04 • Largest payer in this snapshot: ATRICURE, INC. ($513).
Total Amount
$1,345
General + Research + Ownership
Payments
30
Total payment records
General Amount
$1,345
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ATRICURE, INC. | $513 |
| Getinge USA Sales, LLC | $197 |
| Baxter Healthcare | $197 |
| ABIOMED | $176 |
| Edwards Lifesciences Corporation | $90 |
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: 2022-05-16
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 |
|---|---|---|---|---|
| I20220516002011 | I | Physician Assistant | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92688)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Physician Assistant | NJ | |
| Physician Assistant | IN | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA |
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