DR. DAVID GREEN (MD) – Emergency Medicine Physician, NPI 1215988084

DR. DAVID GREEN (MD) is a healthcare provider. based in Coldwater, Michigan. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. 4301039875 (MI). The NPI Number for DR. DAVID GREEN (MD) is 1215988084

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID GREEN (MD)
NPI
1215988084
Phone
(517) 279-4425
Address
28 W CHICAGO ST
Enumeration Date
15 May 2006
Last Update Date
9 August 2011

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7656422602
Graduation Year
1977 (49 years ago)
PAC ID
2062444888
Group Practice PAC ID
8325286834
Professional Enrollment ID
I20170824002708
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. DAVID GREEN (MD)

  • 28, West Chicago Street, Coldwater, Branch County, Michigan, 49036, United States

    STE 2A

    COLDWATER, MI 490361677

    Phone: (517) 279-4425

    Type: Mailing

  • Community Health Center of Branch County, 274, East Chicago Street, Coldwater, Branch County, Michigan, 49036, United States

    COLDWATER, MI 490362041

    Phone: (517) 279-4425

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $97.

Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.

Last reported payment date: 2024-06-03 • Largest payer in this snapshot: PFIZER INC. ($79).

Total Amount

$97

General + Research + Ownership

Payments

5

Total payment records

General Amount

$97

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-03

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: 2017-08-24

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
I20050901000156IEmergency MedicineMITBD
I20051005000131IEmergency MedicineOHTBD
I20170824002708IEmergency MedicineINTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49036)

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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: 8325286834View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

How do payers reference DR. DAVID GREEN (MD)?
For DR. DAVID GREEN (MD), use NPI 1215988084 as the unique 10-digit identifier.
Active or inactive — what applies to DR. DAVID GREEN (MD)?
You should see DR. DAVID GREEN (MD) as active in CMS-hosted NPPES data.
How would a patient describe DR. DAVID GREEN (MD)'s focus?
For DR. DAVID GREEN (MD), the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. DAVID GREEN (MD)?
Travel planning: use Coldwater, Michigan as the reference point for DR. DAVID GREEN (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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