KEVIN CECIL GREENIDGE (MD) – Ophthalmology Physician, NPI 1174515118

KEVIN CECIL GREENIDGE (MD) is a healthcare provider. based in Green cove springs, Florida. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. ME93458 (FL). The NPI Number for KEVIN CECIL GREENIDGE (MD) is 1174515118

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN CECIL GREENIDGE (MD)
NPI
1174515118
Phone
(727) 432-3020
Address
411 WALNUT ST # 15512
Enumeration Date
16 August 2005
Last Update Date
20 March 2023

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Secondary Phone
3018601090
Graduation Year
1977 (49 years ago)
PAC ID
1557396017
Group Practice PAC ID
2668430364
Professional Enrollment ID
I20231016001491
Address ID
MD207154330BO17001DRXX305

Contacts

Secure Messaging
kevingreenidgemd@glaucomacenter.direct.eyemdemr.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

666 OPHTHALMOLOGY in MD

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Provider Addresses for KEVIN CECIL GREENIDGE (MD)

  • 411 WALNUT ST # 15512

    GREEN COVE SPRINGS, FL 320433443

    Phone: (727) 432-3020

    Type: Mailing

  • Science Drive, Bowie, Prince George's County, Maryland, 20717, United States

    BOWIE, MD 207154330

    Phone: (301) 860-1090

    Fax: (301) 860-1095

    Type: Location

  • 148 13th St SW

    Largo, FL 337703127

    Phone: (727) 581-8706

    Fax: (727) 586-3743

    Type: Location

  • 17001 Science Dr Ste 120

    Bowie, MD 207154330

    Phone: (301) 860-1090

    Fax: (301) 860-1095

    Type: Location

  • 200 BLOSSOM ST

    WEBSTER, TX 775984204

    Phone: (409) 772-5800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $388.

Total Amount is formed as General ($388) + Research ($0) + Ownership ($0) = $388.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: SUN PHARMACEUTICAL INDUSTRIES INC. ($311).

Total Amount

$388

General + Research + Ownership

Payments

4

Total payment records

General Amount

$388

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

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: 2023-10-16

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
I20191030000258IOphthalmologyDCTBD
I20231016001491IOphthalmologyMDTBD

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
92083Exam of visual field with extended testing4646$0
99213Established patient office or other outpatient visit, 20-29 minutes4137$0
92133Imaging of optic nerve3737$0
92012Established patient problem focused exam of visual system3635$0
99204New patient office or other outpatient visit, 45-59 minutes2828$0
View full utilization report →

Insurance plans in this area (ZIP 32043)

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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: 2668430364View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMD
O P H T H A L M O L O G YMD
O P H T H A L M O L O G YCA
O P T O M E T R YMD

Reviews

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Frequently asked questions

What unique ID ties claims to KEVIN CECIL GREENIDGE (MD)?
NPI 1174515118 is assigned to KEVIN CECIL GREENIDGE (MD) under the national enumeration system.
Is KEVIN CECIL GREENIDGE (MD) active in the national directory?
KEVIN CECIL GREENIDGE (MD)'s public NPI profile is in an active state.
Does KEVIN CECIL GREENIDGE (MD) list a primary specialty?
If you are matching referrals, note Ophthalmology Physician for KEVIN CECIL GREENIDGE (MD). Clinical services aligned with this taxonomy classification.
Does KEVIN CECIL GREENIDGE (MD) practice in Florida?
You will see Green Cove Springs, Florida on file for KEVIN CECIL GREENIDGE (MD) alongside any extra practice locations.
Is KEVIN CECIL GREENIDGE (MD) a real provider?
This page reflects official NPPES data for NPI 1174515118. Always confirm identity and privileges with the practice and licensing boards.

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