DR. WILLIAM HARRIS GREEN – Dermatology Physician, NPI 1023213634

DR. WILLIAM HARRIS GREEN is a healthcare provider. based in Tallahassee, Florida. specializing in DERMATOLOGY. They hold a License No. ME108696 (FL). The NPI Number for DR. WILLIAM HARRIS GREEN is 1023213634

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILLIAM HARRIS GREEN
NPI
1023213634
Phone
(850) 877-4134
Address
PO BOX 13859
Enumeration Date
15 June 2007
Last Update Date
13 June 2013

Doctor Profile

Medical School Name
EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Secondary Phone
8508774134
Graduation Year
2006 (20 years ago)
PAC ID
0941332878
Group Practice PAC ID
6608775499
Professional Enrollment ID
I20110526000253
Address ID
FL323085317TA1707XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,369 DERMATOLOGY in FL

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Provider Addresses for DR. WILLIAM HARRIS GREEN

  • PO BOX 13859

    TALLAHASSEE, FL 323173859

    Phone: (850) 877-4134

    Fax: (850) 402-9130

    Type: Mailing

  • Dermatology Advanced Care, 1707, Riggins Road, Tallahassee, Leon County, Florida, 32308, United States

    TALLAHASSEE, FL 323085317

    Phone: (850) 877-4134

    Fax: (850) 402-9130

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $460.

Total Amount is formed as General ($460) + Research ($0) + Ownership ($0) = $460.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($110).

Total Amount

$460

General + Research + Ownership

Payments

12

Total payment records

General Amount

$460

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2011-05-26

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
I20110526000253IDermatologyFLTBD

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
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks933620$0
88331Pathology examination of specimen during surgery, first tissue block896322$0
17003Destruction of precancer skin growth, 2-14 growths832160$0
99213Established patient office or other outpatient visit, 20-29 minutes675497$0
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks659346$0
View full utilization report →

Insurance plans in this area (ZIP 32317)

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Provider's Procedures

DR. WILLIAM HARRIS GREEN performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYFL11101Biopsy of each additional growth of skin and/or tissue524257
DERMATOLOGYFL14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips6562
DERMATOLOGYFL77300Calculation of radiation therapy dose7452

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: 6608775499View full group profile
NameSpecialtyState
D E R M A T O L O G YFL
D E R M A T O L O G YFL
D E R M A T O L O G YFL
Nurse PractitionerFL
D E R M A T O L O G YGA
P A T H O L O G YFL
D E R M A T O L O G YFL
Physician AssistantFL
Physician AssistantFL
D E R M A T O L O G YFL

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Frequently asked questions

What is the registry number for DR. WILLIAM HARRIS GREEN?
The registry entry for DR. WILLIAM HARRIS GREEN shows NPI 1023213634.
Does the public listing show DR. WILLIAM HARRIS GREEN as active?
DR. WILLIAM HARRIS GREEN's NPI record reflects an active status in NPPES.
What type of care does DR. WILLIAM HARRIS GREEN provide?
DR. WILLIAM HARRIS GREEN's profile centers on Dermatology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. WILLIAM HARRIS GREEN?
DR. WILLIAM HARRIS GREEN is associated with Tallahassee, Florida in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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