ROBERT M JR. GREEN (MD) – Plastic and Reconstructive Surgery Physician, NPI 1932198249

ROBERT M JR. GREEN (MD) is a healthcare provider. based in Redding, California. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD. They hold a License No. G73342 (CA). The NPI Number for ROBERT M JR. GREEN (MD) is 1932198249

Main info

Male
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT M JR. GREEN (MD)
NPI
1932198249
Phone
(530) 241-0473
Address
PO BOX 496084
Enumeration Date
19 October 2005
Last Update Date
2 November 2021

Doctor Profile

Medical School Name
RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Secondary Phone
7144494800
Graduation Year
1985 (41 years ago)
PAC ID
0648220715
Group Practice PAC ID
8921993205
Professional Enrollment ID
I20050126000650
Address ID
CA955014738EU2752XAVEX302

Contacts

Secure Messaging
rgreen1657744@oc.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

803 PLASTIC AND RECONSTRUCTIVE SURGERY in CA

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Provider Addresses for ROBERT M JR. GREEN (MD)

  • Jack in the Box, 800, East Cypress Avenue, Redding, Shasta County, California, 96002, United States

    REDDING, CA 960496084

    Phone: (530) 241-0473

    Fax: (530) 229-3703

    Type: Mailing

  • Discovery Museum, 612, G Street, Old Town, Eureka, Humboldt County, California, 95501, United States

    EUREKA, CA 955011020

    Phone: (707) 444-3439

    Fax: (707) 444-3459

    Type: Location

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-01-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050126000650IPlastic And Reconstructive SurgeryCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes9292$0
99213Established patient office or other outpatient visit, 20-29 minutes8672$0
12052Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm6057$0
99204New patient office or other outpatient visit, 45-59 minutes4545$0
11642Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm4337$0
View full utilization report →

Insurance plans in this area (ZIP 96049)

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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: 8921993205View full group profile

Reviews

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Frequently asked questions

How is ROBERT M JR. GREEN (MD) identified in CMS data?
CMS-hosted NPPES data lists ROBERT M JR. GREEN (MD) with NPI 1932198249.
Is ROBERT M JR. GREEN (MD) listed as active for patients and plans?
The listing shows ROBERT M JR. GREEN (MD) as active in the NPI system.
What healthcare role does ROBERT M JR. GREEN (MD) hold?
Scheduling teams often label ROBERT M JR. GREEN (MD) under Plastic and Reconstructive Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for ROBERT M JR. GREEN (MD)?
ROBERT M JR. GREEN (MD)'s geographic hint is Redding, California in our summary view.
Is the information about ROBERT M JR. GREEN (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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