MR. CARL LEE GREEN (P.A.) – Physician Assistant, NPI 1619935335
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Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. CARL LEE GREEN (P.A.)
1015, North Firefly Circle, Wichita, Sedgwick County, Kansas, 67235, United States
WICHITA, KS 672359437
Phone: (316) 721-5284
Type: Mailing
750, D Avenue, Kingman, Kingman County, Kansas, 67068, United States
KINGMAN, KS 670681266
Phone: (620) 532-3147
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $242.
Total Amount is formed as General ($242) + Research ($0) + Ownership ($0) = $242.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Abbott Laboratories ($95).
Total Amount
$242
General + Research + Ownership
Payments
3
Total payment records
General Amount
$242
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $95 |
| Phathom Pharmaceuticals, Inc. | $82 |
| AstraZeneca Pharmaceuticals LP | $66 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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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 67235)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KS | |
| Physician Assistant | KS | |
| Family Practice | KS | |
| Nurse Practitioner | KS | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Family Practice | KS | |
| Family Practice | KS | |
| Physician Assistant | KS | |
| Physician Assistant | KS | |
| Nurse Practitioner | KS |
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