COURTNEY ALYSON GREEN (M.D.) – Surgery Physician, NPI 1053653980
Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
730 GENERAL SURGERY in MN
Provider Addresses for COURTNEY ALYSON GREEN (M.D.)
200 1ST ST SW
ROCHESTER, MN 559050001
Phone: (507) 284-2511
Type: Mailing
400 E 3RD ST
DULUTH, MN 558051951
Phone: (218) 786-8364
Type: Mailing
999 N CURTIS RD STE 415
BOISE, ID 837061334
Phone: (208) 302-2600
Fax: (208) 302-2625
Type: Location
513 Parnassus Ave
S-321
San Francisco, CA 941430470
Phone: (651) 329-3976
Type: Location
200 1st St SW
Rochester, MN 559050001
Phone: (507) 284-2511
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $6,226.
Total Amount is formed as General ($6,226) + Research ($0) + Ownership ($0) = $6,226.
Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($6,155).
Total Amount
$6,226
General + Research + Ownership
Payments
37
Total payment records
General Amount
$6,226
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $6,155 |
| Davol Inc. | $71 |
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: 2026-03-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20200804000396 | I | General Surgery | MN | TBD |
| I20230222001562 | I | General Surgery | WA | TBD |
| I20250807003989 | I | General Surgery | ID | TBD |
| I20260303001156 | I | General Surgery | WI | 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 |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 21 | 21 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 20 | 12 | $0 |
Insurance plans in this area (ZIP 55905)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | ME | |
| Internal Medicine | ID | |
| Family Practice | ID | |
| - | TX | |
| - | OR | |
| Hand Surgery | ID | |
| - | ID | |
| Nurse Practitioner | ID | |
| Physician Assistant | ID | |
| General Surgery | ID |
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