DR. BRIAN CLAY GREENE (MD) – Family Medicine Physician, NPI 1669001475

DR. BRIAN CLAY GREENE (MD) is a healthcare provider. based in Frostproof, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. ME161124 (FL). The NPI Number for DR. BRIAN CLAY GREENE (MD) is 1669001475

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN CLAY GREENE (MD)
NPI
1669001475
Phone
(866) 234-8534
Address
109 W Wall St
Enumeration Date
3 April 2020
Last Update Date
27 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9414069029
Graduation Year
2014 (12 years ago)
PAC ID
3678990793
Group Practice PAC ID
9830244433
Professional Enrollment ID
I20230817000132
Address ID
FL342248616EN3000XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

6,723 FAMILY PRACTICE in FL

Provider Addresses for DR. BRIAN CLAY GREENE (MD)

  • 109 W Wall St

    Frostproof, FL 338432043

    Phone: (866) 234-8534

    Type: Location

  • 1201 1ST ST S STE 100A

    WINTER HAVEN, FL 338803904

    Phone:

    Type: Mailing

  • 2675 WINKLER AVE FL 2

    FORT MYERS, FL 339019342

    Phone:

    Type: Mailing

  • 3000 S MCCALL RD

    ENGLEWOOD, FL 342248616

    Phone: (941) 841-4201

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $78.

Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Lilly USA, LLC ($34).

Total Amount

$78

General + Research + Ownership

Payments

4

Total payment records

General Amount

$78

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

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: 2023-08-17

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
I20230817000132IFamily PracticeFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33843)

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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: 9830244433View full group profile

Reviews

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Frequently asked questions

Can I verify DR. BRIAN CLAY GREENE (MD) with an NPI only?
You can start verification with NPI 1669001475 for DR. BRIAN CLAY GREENE (MD), then check state licensing separately.
Can I rely on DR. BRIAN CLAY GREENE (MD) being an active provider?
As of the registry snapshot, DR. BRIAN CLAY GREENE (MD) is marked active.
What healthcare role does DR. BRIAN CLAY GREENE (MD) hold?
Scheduling teams often label DR. BRIAN CLAY GREENE (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does DR. BRIAN CLAY GREENE (MD) serve?
DR. BRIAN CLAY GREENE (MD)'s listing highlights Frostproof, Florida; more addresses can appear in NPPES.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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