CHRISTINA DENISE GREEN (M.D.) – Obstetrics & Gynecology Physician, NPI 1770841314

CHRISTINA DENISE GREEN (M.D.) is a healthcare provider. based in Scott afb, Illinois. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. E-8669 (AR). The NPI Number for CHRISTINA DENISE GREEN (M.D.) is 1770841314

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINA DENISE GREEN (M.D.)
NPI
1770841314
Phone
(618) 256-7669
Address
310 W LOSEY ST
Enumeration Date
2 May 2012
Last Update Date
24 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5018470834
Graduation Year
2012 (14 years ago)
PAC ID
4284959073
Group Practice PAC ID
0547553836
Professional Enrollment ID
I20200618003120
Address ID
AR720228054BR3412XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,923 OBSTETRICS/GYNECOLOGY in IL

Provider Addresses for CHRISTINA DENISE GREEN (M.D.)

  • 310 W LOSEY ST

    SCOTT AFB, IL 622255250

    Phone: (618) 256-7669

    Fax: (618) 256-7619

    Type: Mailing

  • 3 MEDICAL PARK DR STE 100

    BENTON, AR 720153722

    Phone: (501) 776-6249

    Fax: (501) 574-7901

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $857.

Total Amount is formed as General ($857) + Research ($0) + Ownership ($0) = $857.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($150).

Total Amount

$857

General + Research + Ownership

Payments

39

Total payment records

General Amount

$857

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2020-06-18

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200618003120IObstetrics/GynecologyARTBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1616$0
View full utilization report →

Insurance plans in this area (ZIP 62225)

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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: 0547553836View full group profile
NameSpecialtyState
Internal MedicineAR
Cardiovascular Disease (Cardiology), Internal MedicineAR
-AR
-AR
Family PracticeAR
Internal MedicineAR
Physician AssistantAR
Nurse PractitionerAR
Internal Medicine, Cardiovascular Disease (Cardiology)AR
Nurse PractitionerAR

Reviews

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Frequently asked questions

Can I use this page to confirm CHRISTINA DENISE GREEN (M.D.)'s NPI?
Yes. CHRISTINA DENISE GREEN (M.D.) is listed with NPI 1770841314 in the public NPI dataset.
Is CHRISTINA DENISE GREEN (M.D.) listed as active for patients and plans?
The listing shows CHRISTINA DENISE GREEN (M.D.) as active in the NPI system.
What is CHRISTINA DENISE GREEN (M.D.)'s specialty?
The listing groups CHRISTINA DENISE GREEN (M.D.) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect CHRISTINA DENISE GREEN (M.D.) on a map?
Expect Scott Afb, Illinois as a primary anchor for CHRISTINA DENISE GREEN (M.D.) unless the record lists multiple sites.
Why does CHRISTINA DENISE GREEN (M.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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