THOMAS E. GREEN (DO) – Emergency Medicine Physician, NPI 1689668808
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,845 EMERGENCY MEDICINE in IL
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Provider Addresses for THOMAS E. GREEN (DO)
20201, Crawford Avenue, Olympia Fields, Rich Township, Cook County, Illinois, 60461, United States
OLYMPIA FIELDS, IL 60461
Phone: (708) 747-4000
Fax: (866) 520-0761
Type: Location
4535 DRESSLER ROAD NW
CANTON, OH 44718
Phone: (330) 493-4443
Fax: (330) 493-8677
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2026-01-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20140521001676 | I | Emergency Medicine | IA | TBD |
| I20250207001675 | I | Emergency Medicine | OK | TBD |
| I20250220003343 | I | Emergency Medicine | AZ | TBD |
| I20260105001067 | I | Emergency Medicine | OH | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 20 | 18 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 14 | 14 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 14 | 14 | $0 |
Insurance plans in this area (ZIP 60461)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CO | |
| Emergency Medicine | IL | |
| Emergency Medicine | CO | |
| Emergency Medicine | CO | |
| Emergency Medicine | CO | |
| - | NC | |
| Physician Assistant | CO | |
| Emergency Medicine | CO | |
| Emergency Medicine | MI | |
| Emergency Medicine | CO |
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