DR. BRIDGET ANNE GREEN (M.D,) – Dermatology Physician, NPI 1356542500
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
532 DERMATOLOGY in MI
Provider Addresses for DR. BRIDGET ANNE GREEN (M.D,)
3434 Rivertown Point Ct SW
Grandville, MI 494183076
Phone: (616) 257-3344
Fax: (616) 257-1491
Type: Location
3290 N Wellness Dr Ste 240
Holland, MI 494247261
Phone: (616) 395-9379
Fax: (616) 820-1457
Type: Location
East Beltline Avenue Northeast, Grand Rapids, Kent County, Michigan, 49547, United States
GRAND RAPIDS, MI 495256046
Phone: (616) 942-9343
Fax: (616) 942-2538
Type: Mailing
6150 NORTHLAND DRIVE
ROCKFORD, MI 49341
Phone: (616) 942-9343
Fax: (616) 942-2538
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 80 Open Payments records for all available years, with a total value of $1,667.
Total Amount is formed as General ($1,667) + Research ($0) + Ownership ($0) = $1,667.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: PFIZER INC. ($243).
Total Amount
$1,667
General + Research + Ownership
Payments
80
Total payment records
General Amount
$1,667
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2008-10-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081022000564 | I | Dermatology | MI | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,405 | 253 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 484 | 322 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 448 | 353 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 265 | 239 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 195 | 153 | $0 |
Insurance plans in this area (ZIP 49418)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MI | |
| D E R M A T O L O G Y | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| D E R M A T O L O G Y | IA | |
| Physician Assistant | MI | |
| D E R M A T O L O G Y | MI | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | MI | |
| - | MI | |
| Physician Assistant | MI |
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