KEVIN B GREEN (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1356307334

KEVIN B GREEN (MD) is a healthcare provider. based in New london, Connecticut. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 049143 (CT). The NPI Number for KEVIN B GREEN (MD) is 1356307334

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN B GREEN (MD)
NPI
1356307334
Phone
(860) 444-5100
Address
365 MONTAUK AVE
Enumeration Date
26 April 2006
Last Update Date
24 October 2014

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
8604445100
Graduation Year
2000 (26 years ago)
PAC ID
4183640717
Group Practice PAC ID
0840369740
Professional Enrollment ID
I20101019001399
Address ID
CT063204700NE365XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

323 PATHOLOGY in CT

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Provider Addresses for KEVIN B GREEN (MD)

  • Lawrence+Memorial Hospital, 365, Montauk Avenue, Montauk Avenue Historic District, New London, New London County, Connecticut, 06320, United States

    NEW LONDON, CT 063204700

    Phone: (860) 444-5100

    Fax: (860) 444-3709

    Type: Location

  • PO BOX 902

    NEW HAVEN, CT 065040902

    Phone: (203) 397-8000

    Fax: (203) 389-1540

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Ardelyx, Inc. ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Ardelyx, Inc.$25
View all Open Payments →|Open Payments Risk Radar →

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: 2013-08-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20101019001399IPathologyCTTBD
I20130813000936IPathologyRITBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity1,275525$0
88341Special stained specimen slides to examine tissue, each additional procedure25365$0
88312Special stained specimen slides to identify organisms including interpretation and report11589$0
88304Pathology examination of tissue using a microscope, moderately low complexity8380$0
88342Special stained specimen slides to examine tissue, initial procedure8075$0
View full utilization report →

Insurance plans in this area (ZIP 06320)

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Provider's Procedures

KEVIN B GREEN (MD) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYCT88304Pathology examination of tissue using a microscope, moderately low complexity7065
PATHOLOGYCT88307Pathology examination of tissue using a microscope, moderately high complexity6045
PATHOLOGYCT88312Special stained specimen slides to identify organisms including interpretation and report131114
PATHOLOGYCT88342Tissue or cell analysis by immunologic technique4340

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: 0840369740View full group profile
NameSpecialtyState
P A T H O L O G YCT
Pathology, HematologyCT
P A T H O L O G YCT
P A T H O L O G YCT

Reviews

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Frequently asked questions

How do payers reference KEVIN B GREEN (MD)?
For KEVIN B GREEN (MD), use NPI 1356307334 as the unique 10-digit identifier.
Would KEVIN B GREEN (MD) appear as active to a payer?
You can treat KEVIN B GREEN (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with KEVIN B GREEN (MD)?
KEVIN B GREEN (MD)'s record emphasizes Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Is KEVIN B GREEN (MD) located near New London?
KEVIN B GREEN (MD) currently maps to New London, Connecticut in this extract.
Does KEVIN B GREEN (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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