CHARLES C GREENE (MD) – Otolaryngology Physician, NPI 1306876651
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
732 OTOLARYNGOLOGY in FL
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Provider Addresses for CHARLES C GREENE (MD)
11512 LAKE MEAD AVE UNIT 531
JACKSONVILLE, FL 322569733
Phone: (904) 419-2054
Fax: (904) 419-2057
Type: Mailing
Lake Mead Avenue, Jacksonville, Duval County, Florida, 32256, United States
SUITE 531
JACKSONVILLE, FL 322569680
Phone: (904) 419-2054
Fax: (904) 419-2057
Type: Location
St Augustine Post Office, 34, Main Street, St. Augustine, Knox County, Illinois, 61474, United States
ST AUGUSTINE, FL 320853123
Phone: (904) 419-2054
Fax: (904) 419-2057
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 60 Open Payments records for all available years, with a total value of $4,596.
Total Amount is formed as General ($4,596) + Research ($0) + Ownership ($0) = $4,596.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Optinose US, Inc. ($2,222).
Total Amount
$4,596
General + Research + Ownership
Payments
60
Total payment records
General Amount
$4,596
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Optinose US, Inc. | $2,222 |
| GENZYME CORPORATION | $1,107 |
| PhotoniCare Inc | $381 |
| Regeneron Healthcare Solutions, Inc. | $271 |
| Inspire Medical Systems, Inc. | $165 |
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: 2004-04-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040424000018 | I | Otolaryngology | FL | 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 |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 16,929 | 243 | $0 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 748 | 480 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 547 | 358 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 477 | 340 | $0 |
| 92550 | Test for eardrum and muscle function | 410 | 335 | $0 |
Insurance plans in this area (ZIP 32256)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | FL | 92540 | Observation, testing, and recording of abnormal eye movement | 128 | 128 |
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| O T O L A R Y N G O L O G Y | FL | |
| O T O L A R Y N G O L O G Y | FL | |
| Qualified Audiologist | FL | |
| O T O L A R Y N G O L O G Y | FL | |
| Qualified Audiologist | FL | |
| O T O L A R Y N G O L O G Y | FL | |
| Qualified Audiologist | FL | |
| Qualified Audiologist | FL | |
| O T O L A R Y N G O L O G Y | FL |
Reviews
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