DR. CHERYL LYNN GREEN (M.D.) – Diagnostic Radiology Physician, NPI 1063452225
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,168 DIAGNOSTIC RADIOLOGY in FL
Provider Addresses for DR. CHERYL LYNN GREEN (M.D.)
1223 Gateway Dr
Melbourne, FL 329012607
Phone: (321) 728-6002
Fax: (321) 728-6014
Type: Location
1755 W HIBISCUS BLVD # 215
MELBOURNE, FL 329012616
Phone:
Type: Mailing
5334 S WOODROW ST STE 100
MURRAY, UT 841075838
Phone: (801) 713-0600
Fax: (801) 713-0601
Type: Mailing
5444, Green Street, Murray, Salt Lake County, Utah, 84123, United States
MURRAY, UT 841235632
Phone: (801) 262-8120
Fax: (801) 262-5721
Type: Mailing
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: 2006-02-27
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 |
|---|---|---|---|---|
| I20060227000350 | I | Diagnostic Radiology | UT | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 5,950 | 40 | $0 |
| 77067 | Screening mammography | 910 | 910 | $0 |
| 77063 | Screening 3d breast mammography | 671 | 671 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 197 | 191 | $0 |
| 77065 | Diagnostic mammography of 1 breast | 174 | 163 | $0 |
Insurance plans in this area (ZIP 32901)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | UT | |
| Physician Assistant | UT | |
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | TX |
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