RICHARD GREENE (MD) – Dermatology Physician, NPI 1205894169

RICHARD GREENE (MD) is a healthcare provider. based in Highland park, Illinois. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 163843 (NY). The NPI Number for RICHARD GREENE (MD) is 1205894169

Main info

Male
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD GREENE (MD)
NPI
1205894169
Phone
(847) 926-3109
Address
1160 PARK AVE W STE 3E
Enumeration Date
2 May 2006
Last Update Date
9 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5619230905
Graduation Year
1984 (42 years ago)
PAC ID
5991721987
Group Practice PAC ID
3173942240
Professional Enrollment ID
I20250117001449
Address ID
FL334284200BO22029RDXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,384 DERMATOLOGY in NY

Provider Addresses for RICHARD GREENE (MD)

  • 1160 PARK AVE W STE 3E

    HIGHLAND PARK, IL 600352271

    Phone: (847) 926-3109

    Fax: (847) 469-4061

    Type: Mailing

  • 2150 S Clinton Ave

    Rochester, NY 146182618

    Phone: (585) 256-0555

    Type: Location

  • 22029 STATE ROAD 7

    BOCA RATON, FL 334284200

    Phone: (561) 923-0905

    Fax: (561) 443-2823

    Type: Location

  • 2150, South Clinton Avenue, City of Rochester, Monroe County, New York, 14618, United States

    ROCHESTER, NY 146182618

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 182 Open Payments records for all available years, with a total value of $10,946.

Total Amount is formed as General ($10,946) + Research ($0) + Ownership ($0) = $10,946.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: PFIZER INC. ($7,402).

Total Amount

$10,946

General + Research + Ownership

Payments

182

Total payment records

General Amount

$10,946

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2025-09-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051019000464IDermatologyNYTBD
I20250117001449IDermatologyFLTBD
I20250924002958IDermatologyILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths29271$0
99213Established patient office or other outpatient visit, 20-29 minutes178154$0
17000Destruction of precancer skin growth, 1 growth10092$0
17004Destruction of precancer skin growth, 15 or more growths5544$0
17110Destruction of skin growth, 1-14 growths4539$0
View full utilization report →

Insurance plans in this area (ZIP 60035)

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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: 3173942240View full group profile
NameSpecialtyState
D E R M A T O L O G YFL

Reviews

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Frequently asked questions

What is the registry number for RICHARD GREENE (MD)?
The registry entry for RICHARD GREENE (MD) shows NPI 1205894169.
Does the public listing show RICHARD GREENE (MD) as active?
RICHARD GREENE (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret RICHARD GREENE (MD)'s specialty?
The extract shows Dermatology Physician for RICHARD GREENE (MD). Clinical services aligned with this taxonomy classification.
What city is tied to RICHARD GREENE (MD)?
The directory associates RICHARD GREENE (MD) with Highland Park, Illinois. Check all listed addresses for suites or satellite offices.
Can I export RICHARD GREENE (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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