JASON GREEN (DO) – Dermatology Physician, NPI 1427167261
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,366 DERMATOLOGY in FL
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Provider Addresses for JASON GREEN (DO)
Lake Lucien Drive, Maitland, Orange County, Florida, 32810, United States
MAITLAND, FL 327517235
Phone: (407) 875-2080
Fax: (407) 875-0518
Type: Mailing
5721, Northeast 27th Avenue, The Landlings, Fort Lauderdale, Broward County, Florida, 33308, United States
FORT LAUDERDALE, FL 333082703
Phone: (954) 772-0416
Fax: (954) 772-5716
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 272 Open Payments records for all available years, with a total value of $67,117.
Total Amount is formed as General ($67,117) + Research ($0) + Ownership ($0) = $67,117.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: LEO Pharma Inc. ($31,286).
Total Amount
$67,117
General + Research + Ownership
Payments
272
Total payment records
General Amount
$67,117
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| LEO Pharma Inc. | $31,286 |
| ConvaTec Inc. | $24,111 |
| Medimetriks Pharmaceuticals, Inc. | $4,600 |
| GENZYME CORPORATION | $3,127 |
| Regeneron Healthcare Solutions, Inc. | $523 |
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: 2005-09-19
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 |
|---|---|---|---|---|
| I20050919001006 | I | Dermatology | 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 |
|---|---|---|---|---|
| J7345 | Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg | 22,803 | 58 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1,397 | 292 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 904 | 235 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 714 | 249 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 706 | 212 | $0 |
Insurance plans in this area (ZIP 32751)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| U R O L O G Y | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | VA |
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