TANYA RENITA GREEN (PA) – Physician Assistant, NPI 1245279405
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for TANYA RENITA GREEN (PA)
1324 Lakeland Hills Blvd
Lakeland, FL 338054543
Phone: (863) 687-1201
Type: Location
707 E Main St
Middletown, NY 109402667
Phone: (845) 333-1000
Fax: (845) 333-2329
Type: Location
2401 S 31st St
Temple, TX 765085030
Phone: (254) 724-2111
Type: Location
403 E 1st St
Dixon, IL 61021
Phone: (815) 288-5531
Fax: (815) 285-5558
Type: Location
403 E 1ST ST
DIXON, IL 610213116
Phone: (815) 288-5531
Fax: (815) 285-5558
Type: Mailing
PO BOX 844658
DALLAS, TX 752844658
Phone:
Type: Mailing
68, Harris Road, Harris, Town of Thompson, Sullivan County, New York, 12742, United States
HARRIS, NY 127425030
Phone: (845) 794-3300
Fax: (845) 794-3240
Type: Location
RXR Plaza, Uniondale, Town of Hempstead, Nassau County, New York, United States
UNIONDALE, NY 115561301
Phone: (516) 783-4600
Fax: (646) 846-3283
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $56.
Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.
Last reported payment date: 2024-09-15 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($36).
Total Amount
$56
General + Research + Ownership
Payments
3
Total payment records
General Amount
$56
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Collegium Pharmaceutical, Inc. | $36 |
| Paratek Pharmaceuticals, Inc. | $20 |
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: 2025-09-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 10 Medicare enrollment records; no due dates published yet.
Enrollment records
10
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 |
|---|---|---|---|---|
| I20050422000608 | I | Physician Assistant | FL | TBD |
| I20071108000386 | I | Physician Assistant | MD | TBD |
| I20080604000356 | I | Physician Assistant | GA | TBD |
| I20110621000620 | I | Physician Assistant | TX | TBD |
| I20150825003347 | I | Physician Assistant | NY | TBD |
| I20160920000457 | I | Physician Assistant | OH | TBD |
| I20180606003496 | I | Physician Assistant | IL | TBD |
| I20230330001080 | I | Physician Assistant | NJ | TBD |
| I20240719000703 | I | Physician Assistant | CT | TBD |
| I20250919002417 | I | Physician Assistant | WI | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 33 | 33 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 18 | 18 | $0 |
Insurance plans in this area (ZIP 33805)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | FL | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WI | |
| Nurse Practitioner | WI | |
| - | WI | |
| Internal Medicine, Infectious Disease | NY | |
| - | WI | |
| Family Practice | WI | |
| Nurse Practitioner | WV | |
| Internal Medicine | WI | |
| Nurse Practitioner | IL | |
| - | WI |
Reviews
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