DR. JAMES DOUGLAS JR. GREEN (M.D.) – Otology & Neurotology Physician, NPI 1265438493

DR. JAMES DOUGLAS JR. GREEN (M.D.) is a healthcare provider. based in Jacksonville, Florida. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 58964 (FL). The NPI Number for DR. JAMES DOUGLAS JR. GREEN (M.D.) is 1265438493

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES DOUGLAS JR. GREEN (M.D.)
NPI
1265438493
Phone
(904) 399-0350
Address
10475 CENTURION PKWY N
Enumeration Date
22 June 2005
Last Update Date
14 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
9043990350
Graduation Year
1985 (41 years ago)
PAC ID
8224007018
Group Practice PAC ID
2769381391
Professional Enrollment ID
I20040928001345
Address ID
FL322565004JA10475NXXX410
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

732 OTOLARYNGOLOGY in FL

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Provider Addresses for DR. JAMES DOUGLAS JR. GREEN (M.D.)

  • 10475, Centurion Parkway North, Deerwood Park, Jacksonville, Duval County, Florida, 32256, United States

    STE 303

    JACKSONVILLE, FL 322565003

    Phone: (904) 399-0350

    Fax: (904) 399-5914

    Type: Location

  • San Jose Boulevard, San Jose, Jacksonville, Duval County, Florida, 32217, United States

    BLDG 300

    JACKSONVILLE, FL 322231613

    Phone: (904) 396-1725

    Fax: (904) 399-1717

    Type: Mailing

  • 11945 SAN JOSE BLVD STE 300

    JACKSONVILLE, FL 322231627

    Phone: (904) 396-1725

    Fax: (904) 399-1717

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $6,102.

Total Amount is formed as General ($6,102) + Research ($0) + Ownership ($0) = $6,102.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Oticon Medical, LLC ($5,530).

Total Amount

$6,102

General + Research + Ownership

Payments

10

Total payment records

General Amount

$6,102

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

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: 2004-09-28

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
I20040928001345IOtolaryngologyFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes481340$0
99214Established patient office or other outpatient visit, 30-39 minutes337258$0
92504Exam of ear using a microscope158107$0
G0268Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing155148$0
69210Removal of impacted ear wax144111$0
View full utilization report →

Insurance plans in this area (ZIP 32256)

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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: 2769381391View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YPA
Otolaryngology, General SurgeryFL
O T O L A R Y N G O L O G YKY
General Surgery, Critical Care (Intensivists)FL
Orthopedic SurgeryFL
Otolaryngology, Sleep MedicineFL
General SurgeryFL
General SurgeryFL
O P H T H A L M O L O G YFL
Pain ManagementFL

Reviews

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Frequently asked questions

Can I use this page to confirm DR. JAMES DOUGLAS JR. GREEN (M.D.)'s NPI?
Yes. DR. JAMES DOUGLAS JR. GREEN (M.D.) is listed with NPI 1265438493 in the public NPI dataset.
Does the file indicate DR. JAMES DOUGLAS JR. GREEN (M.D.) is practicing under active NPI?
Directory data currently reports DR. JAMES DOUGLAS JR. GREEN (M.D.) as active.
What taxonomy line describes DR. JAMES DOUGLAS JR. GREEN (M.D.)?
For research purposes, treat DR. JAMES DOUGLAS JR. GREEN (M.D.) as Otology & Neurotology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. JAMES DOUGLAS JR. GREEN (M.D.) serve?
DR. JAMES DOUGLAS JR. GREEN (M.D.)'s listing highlights Jacksonville, Florida; more addresses can appear in NPPES.
Why does DR. JAMES DOUGLAS JR. GREEN (M.D.) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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