HEATHER C. GREEN (M.D.) – Family Medicine Physician, NPI 1487693420

HEATHER C. GREEN (M.D.) is a healthcare provider. based in Beaver dam, Kentucky. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 39866 (KY). The NPI Number for HEATHER C. GREEN (M.D.) is 1487693420

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER C. GREEN (M.D.)
NPI
1487693420
Phone
(270) 274-5602
Address
1307 N Main St
Enumeration Date
5 June 2006
Last Update Date
12 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
7012980972
Group Practice PAC ID
0648255034
Professional Enrollment ID
I20060112000278
Address ID
KY423014569OW2211XDRXX300
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

1,718 FAMILY PRACTICE in KY

Provider Addresses for HEATHER C. GREEN (M.D.)

  • 1307 N Main St

    Beaver Dam, KY 423208957

    Phone: (270) 274-5602

    Fax: (270) 274-5612

    Type: Location

  • 910 Wallace Ave

    Leitchfield, KY 427542414

    Phone: (270) 259-1612

    Fax: (270) 259-1674

    Type: Location

  • PO BOX 23229

    OWENSBORO, KY 423043229

    Phone: (270) 688-1330

    Fax: (270) 688-1338

    Type: Mailing

  • 1325, Triplett Street, Owensboro, Daviess County, Kentucky, 42303, United States

    OWENSBORO, KY 423033163

    Phone: (270) 688-4325

    Fax: (270) 687-4322

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $430.

Total Amount is formed as General ($430) + Research ($0) + Ownership ($0) = $430.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Kerecis Limited ($161).

Total Amount

$430

General + Research + Ownership

Payments

14

Total payment records

General Amount

$430

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

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: 2006-01-12

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
I20060112000278IFamily PracticeKYTBD

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
11042Removal of skin and tissue, 20.0 sq cm or less15538$0
99213Established patient office or other outpatient visit, 20-29 minutes10036$0
11043Removal of muscle and/or tissue, 20.0 sq cm or less6215$0
99214Established patient office or other outpatient visit, 30-39 minutes3723$0
97597Removal of tissue from wound, 20.0 sq cm or less2818$0
View full utilization report →

Insurance plans in this area (ZIP 42320)

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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: 0648255034View full group profile

Reviews

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Frequently asked questions

Is HEATHER C. GREEN (M.D.) listed with a National Provider Identifier?
Yes — HEATHER C. GREEN (M.D.) has NPI 1487693420 on file in the registry.
Is HEATHER C. GREEN (M.D.) still an active registrant?
HEATHER C. GREEN (M.D.) carries an active NPI according to the public dataset.
What area of care is associated with HEATHER C. GREEN (M.D.)?
HEATHER C. GREEN (M.D.)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is HEATHER C. GREEN (M.D.) associated with Beaver Dam?
Public fields place HEATHER C. GREEN (M.D.) around Beaver Dam, Kentucky. Always confirm the exact site before visiting.
Does HEATHER C. GREEN (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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