DOUGLAS GREEN (M.D.) – Emergency Medicine Physician, NPI 1134109267

DOUGLAS GREEN (M.D.) is a healthcare provider. based in Melbourne, Florida. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME0081481 (FL). The NPI Number for DOUGLAS GREEN (M.D.) is 1134109267

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS GREEN (M.D.)
NPI
1134109267
Phone
(321) 254-6218
Address
PO BOX 361907
Enumeration Date
17 January 2006
Last Update Date
15 February 2012

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
3212686111
Graduation Year
1997 (29 years ago)
PAC ID
6507849833
Group Practice PAC ID
7416865811
Professional Enrollment ID
I20040609000355
Address ID
FL327962194TI951XXAVEX400
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

3,232 EMERGENCY MEDICINE in FL

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Provider Addresses for DOUGLAS GREEN (M.D.)

  • GPO Private Box Centre, Bourke Street, Melbourne, City of Melbourne, Victoria, 3000, Australia

    MELBOURNE, FL 329061907

    Phone: (321) 254-6218

    Fax: (321) 254-6230

    Type: Mailing

  • Hickory Street, Melbourne, Brevard County, Florida, 32901, United States

    MELBOURNE, FL 32901

    Phone: (321) 254-6218

    Fax: (321) 254-6230

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $257.

Total Amount is formed as General ($257) + Research ($0) + Ownership ($0) = $257.

Last reported payment date: 2024-03-07 • Largest payer in this snapshot: Cochlear Americas ($257).

Total Amount

$257

General + Research + Ownership

Payments

2

Total payment records

General Amount

$257

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Cochlear Americas$257
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: 2004-06-09

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
I20040609000355IEmergency MedicineFLTBD

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
99285Emergency department visit with high level of medical decision making418404$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only390375$0
99291Critical care, first 30-74 minutes101101$0
99292Critical care, each additional 30 minutes8568$0
99284Emergency department visit with moderate level of medical decision making8080$0
View full utilization report →

Insurance plans in this area (ZIP 32906)

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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: 7416865811View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DOUGLAS GREEN (M.D.)?
DOUGLAS GREEN (M.D.) — NPI 1134109267 — is the standard way to identify this listing.
Does CMS list DOUGLAS GREEN (M.D.) as active?
Yes — DOUGLAS GREEN (M.D.) is active in the NPI listing used on this page.
What is DOUGLAS GREEN (M.D.)'s specialty?
The listing groups DOUGLAS GREEN (M.D.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DOUGLAS GREEN (M.D.) based?
DOUGLAS GREEN (M.D.) is tied to Melbourne, Florida in the data we show; additional addresses may exist on the full record.
Why does DOUGLAS GREEN (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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