ADAM W. GREEN (M.D.) – Adult Reconstructive Orthopaedic Surgery Physician, NPI 1679936462

ADAM W. GREEN (M.D.) is a healthcare provider. based in Niantic, Connecticut. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 35.141829 (OH). The NPI Number for ADAM W. GREEN (M.D.) is 1679936462

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
ADAM W. GREEN (M.D.)
NPI
1679936462
Phone
(860) 889-7345
Address
11 Industrial Park Rd
Enumeration Date
30 March 2016
Last Update Date
9 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8604951919
Graduation Year
2016 (10 years ago)
PAC ID
3173814548
Group Practice PAC ID
7911800180
Professional Enrollment ID
I20220720000642
Address ID
CT063797909PA37XXXSTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:10State licenses:2Digital endpointsOther names

466 ORTHOPEDIC SURGERY in CT

Provider Addresses for ADAM W. GREEN (M.D.)

  • 11 Industrial Park Rd

    Niantic, CT 063571210

    Phone: (860) 889-7345

    Type: Location

  • UMASS Memorial Medical Center University Campus Hospital, 55, Lake Avenue North, Worcester, Worcester County, Massachusetts, 01653, United States

    WORCESTER, MA 016550002

    Phone: (508) 334-1000

    Type: Mailing

  • 82 NEW PARK AVE

    NORTH FRANKLIN, CT 062541807

    Phone: (860) 889-7345

    Fax: (860) 823-2953

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $1,566.

Total Amount is formed as General ($1,566) + Research ($0) + Ownership ($0) = $1,566.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Stryker Corporation ($1,277).

Total Amount

$1,566

General + Research + Ownership

Payments

23

Total payment records

General Amount

$1,566

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

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: 2022-07-20

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
I20220720000642IOrthopedic SurgeryCTTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg84074$0
99213Established patient office or other outpatient visit, 20-29 minutes221159$0
20610Aspiration and/or injection of fluid from large joint15685$0
99214Established patient office or other outpatient visit, 30-39 minutes146120$0
73502X-ray of hip, 2-3 views13095$0
View full utilization report →

Insurance plans in this area (ZIP 06357)

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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: 7911800180View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Family PracticeCT
Physical Therapist In Private PracticeCT
Occupational Therapist In Private PracticeNY
Internal MedicineCT
Physical Therapist In Private PracticeCT
Nurse PractitionerCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeMA

Reviews

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Frequently asked questions

Can I verify ADAM W. GREEN (M.D.) with an NPI only?
You can start verification with NPI 1679936462 for ADAM W. GREEN (M.D.), then check state licensing separately.
Is ADAM W. GREEN (M.D.) listed as active for patients and plans?
The listing shows ADAM W. GREEN (M.D.) as active in the NPI system.
What is ADAM W. GREEN (M.D.)'s primary classification?
Adult Reconstructive Orthopaedic Surgery Physician is the headline specialty for ADAM W. GREEN (M.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect ADAM W. GREEN (M.D.) on a map?
Expect Niantic, Connecticut as a primary anchor for ADAM W. GREEN (M.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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