MATTHEW GREEN – Physician Assistant, NPI 1073237962
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for MATTHEW GREEN
1155 5th St SE
Cairo, GA 398283142
Phone: (229) 226-3060
Fax: (855) 460-8658
Type: Location
113 W Hansell St
Thomasville, GA 317926664
Phone: (229) 226-3060
Fax: (855) 460-8658
Type: Location
3334 Capital Medical Blvd Ste 400
Tallahassee, FL 323084470
Phone: (850) 877-8174
Fax: (844) 261-6839
Type: Location
189 SHEPARDS WAY
THOMASVILLE, GA 317572575
Phone: (229) 726-7344
Type: Mailing
3334 CAPITAL MEDICAL BLVD STE 400
TALLAHASSEE, FL 323084470
Phone: (850) 877-8174
Fax: (844) 261-6839
Type: Mailing
2605 WELAUNEE BLVD
TALLAHASSEE, FL 323084697
Phone: (850) 877-8174
Fax: (844) 261-6839
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 $34.
Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.
Last reported payment date: 2024-06-18 • Largest payer in this snapshot: ABIOMED ($18).
Total Amount
$34
General + Research + Ownership
Payments
2
Total payment records
General Amount
$34
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABIOMED | $18 |
| Shield Therapeutics Inc | $15 |
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: 2024-03-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20240209001694 | I | Physician Assistant | FL | TBD |
| I20240325000459 | I | Physician Assistant | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 39828)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Physical Therapist In Private Practice | NY | |
| Orthopedic Surgery | FL | |
| Physical Therapist In Private Practice | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Occupational Therapist In Private Practice | FL | |
| Orthopedic Surgery | FL | |
| Nurse Practitioner | FL | |
| Physical Therapist In Private Practice | FL |
Reviews
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