DR. JEREMY BLAIR GREEN (M.D.) – Dermatology Physician, NPI 1225249055

DR. JEREMY BLAIR GREEN (M.D.) is a healthcare provider. based in Coral gables, Florida. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. ME107541 (FL). The NPI Number for DR. JEREMY BLAIR GREEN (M.D.) is 1225249055

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEREMY BLAIR GREEN (M.D.)
NPI
1225249055
Phone
(305) 443-6606
Address
4425 PONCE DE LEON BLVD
Enumeration Date
24 May 2007
Last Update Date
22 August 2011

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
3054436606
Graduation Year
2006 (20 years ago)
PAC ID
7012186000
Group Practice PAC ID
0749599793
Professional Enrollment ID
I20110809000052
Address ID
FL331461871CO4425XBLVD501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,366 DERMATOLOGY in FL

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Provider Addresses for DR. JEREMY BLAIR GREEN (M.D.)

  • 4425, Ponce de Leon Boulevard, Coral Gables, Miami-Dade County, Florida, 33146, United States

    SUITE 200

    CORAL GABLES, FL 331461837

    Phone: (305) 443-6606

    Fax: (305) 443-4890

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 231 Open Payments records for all available years, with a total value of $359,372.

Total Amount is formed as General ($351,948) + Research ($7,424) + Ownership ($0) = $359,372.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Evolved By Nature, Inc. ($107,999).

Total Amount

$359,372

General + Research + Ownership

Payments

231

Total payment records

General Amount

$351,948

General payments

Research Amount

$7,424

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

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: 2011-08-09

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
I20110809000052IDermatologyFLTBD

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
17003Destruction of precancer skin growth, 2-14 growths53486$0
99213Established patient office or other outpatient visit, 20-29 minutes256171$0
17000Destruction of precancer skin growth, 1 growth150107$0
11102Biopsy of related skin growth, first growth119100$0
17110Destruction of skin growth, 1-14 growths11287$0
View full utilization report →

Insurance plans in this area (ZIP 33146)

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Provider's Procedures

DR. JEREMY BLAIR GREEN (M.D.) 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 tissue3524
DERMATOLOGYFL17003Destruction of 2-14 skin growths7062

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: 0749599793View full group profile
NameSpecialtyState
Nurse PractitionerFL
D E R M A T O L O G YNY
D E R M A T O L O G YFL
Dermatology, Micrographic Dermatologic Surgery (Mds), PathologyFL
D E R M A T O L O G YFL
Physician AssistantFL
D E R M A T O L O G YFL

Reviews

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Frequently asked questions

Can I verify DR. JEREMY BLAIR GREEN (M.D.) with an NPI only?
You can start verification with NPI 1225249055 for DR. JEREMY BLAIR GREEN (M.D.), then check state licensing separately.
Does CMS list DR. JEREMY BLAIR GREEN (M.D.) as active?
Yes — DR. JEREMY BLAIR GREEN (M.D.) is active in the NPI listing used on this page.
What healthcare role does DR. JEREMY BLAIR GREEN (M.D.) hold?
Scheduling teams often label DR. JEREMY BLAIR GREEN (M.D.) under Dermatology Physician. Clinical services aligned with this taxonomy classification.
Does DR. JEREMY BLAIR GREEN (M.D.) list a practice location?
Patients near Coral Gables, Florida may find DR. JEREMY BLAIR GREEN (M.D.) in results; validate coverage separately.
Is the information about DR. JEREMY BLAIR GREEN (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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