BRUCE G GREEN (MD) – Urology Physician, NPI 1053385716
Urology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
363 UROLOGY in GA
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Provider Addresses for BRUCE G GREEN (MD)
Plastic Surgery Centre of Atlanta, 5673, Peachtree Dunwoody Road, Atlanta, Georgia, 30342, United States
STE 910
ATLANTA, GA 303421731
Phone: (404) 255-3822
Fax: (404) 255-0495
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $389.
Total Amount is formed as General ($389) + Research ($0) + Ownership ($0) = $389.
Last reported payment date: 2024-09-16 • Largest payer in this snapshot: Endo Pharmaceuticals Inc. ($140).
Total Amount
$389
General + Research + Ownership
Payments
19
Total payment records
General Amount
$389
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Endo Pharmaceuticals Inc. | $140 |
| ABC Home Medical Supply, Inc. | $56 |
| Endo USA, Inc. | $46 |
| Teleflex LLC | $34 |
| Blue Earth Diagnostics Limited | $23 |
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: 2005-12-02
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 |
|---|---|---|---|---|
| I20051202000005 | I | Urology | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 119 | 101 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 65 | 59 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 28 | 26 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 12 | 12 | $0 |
| 76775 | Limited ultrasound scan behind abdominal cavity | 11 | 11 | $0 |
Insurance plans in this area (ZIP 30342)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | CA | |
| U R O L O G Y | GA | |
| U R O L O G Y | IL | |
| Nurse Practitioner | GA | |
| U R O L O G Y | GA | |
| U R O L O G Y | GA | |
| U R O L O G Y | GA |
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