THOMAS JUSTIN JR. GREEN (M.D.) – Body Imaging Physician, NPI 1942207709
Body Imaging Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,168 DIAGNOSTIC RADIOLOGY in FL
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Provider Addresses for THOMAS JUSTIN JR. GREEN (M.D.)
1673 MASON AVE STE 305
DAYTONA BEACH, FL 321175516
Phone: (386) 274-7118
Fax: (386) 274-6173
Type: Mailing
Mason Avenue, Daytona Beach, Volusia County, Florida, 32118, United States
SUITE 305
DAYTONA BEACH, FL 321175515
Phone: (386) 274-7118
Fax: (386) 274-6173
Type: Location
743 Spring St NE
Gainesville, GA 305013715
Phone: (770) 219-9000
Type: Location
400 Health Park Blvd
St Augustine, FL 320865784
Phone: (904) 819-5155
Type: Location
2300 Opitz Blvd
Woodbridge, VA 221913311
Phone: (732) 763-9253
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $44.
Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.
Last reported payment date: 2023-12-22 • Largest payer in this snapshot: Penumbra, Inc. ($26).
Total Amount
$44
General + Research + Ownership
Payments
2
Total payment records
General Amount
$44
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $26 |
| Bard Peripheral Vascular, Inc. | $18 |
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: 2025-12-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20041012000404 | I | Interventional Radiology | FL | TBD |
| I20210607003093 | I | Interventional Radiology | VI | TBD |
| I20251205000445 | I | Diagnostic Radiology | GA | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 28,202 | 341 | $0 |
| 71045 | X-ray of chest, 1 view | 210 | 195 | $0 |
| 71250 | Ct scan of chest without contrast | 188 | 185 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 136 | 31 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 131 | 128 | $0 |
Insurance plans in this area (ZIP 32117)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL RADIOLOGY | FL | 71010 | X-ray of chest, 1 view, front | 454 | 405 |
| INTERVENTIONAL RADIOLOGY | FL | 71250 | CT scan chest | 16 | 16 |
| INTERVENTIONAL RADIOLOGY | FL | 74177 | CT scan of abdomen and pelvis with contrast | 34 | 34 |
| INTERVENTIONAL RADIOLOGY | FL | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Critical Care (Intensivists), Internal Medicine | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Nurse Practitioner | FL | |
| Hospitalist, Hospitalist, Internal Medicine, Internal Medicine | OK | |
| Diagnostic Radiology | FL | |
| A N E S T H E S I O L O G Y | FL | |
| Family Practice | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Family Practice | FL |
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