DR. MARK ALAN GREEN (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1073550604
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
285 PODIATRY in MO
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Provider Addresses for DR. MARK ALAN GREEN (DPM)
Carondelet Drive, Dallas, Kansas City, Jackson County, Missouri, 66211, United States
SUITE 301
KANSAS CITY, MO 641144859
Phone: (816) 943-1111
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $38.
Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.
Last reported payment date: 2023-06-07 • Largest payer in this snapshot: Boston Scientific Corporation ($25).
Total Amount
$38
General + Research + Ownership
Payments
2
Total payment records
General Amount
$38
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-07
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: 2011-11-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20070619000509 | I | Podiatry | KS | TBD |
| I20111115000872 | I | Podiatry | MO | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 227 | 140 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 213 | 99 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 134 | 74 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 96 | 96 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 76 | 38 | $0 |
Insurance plans in this area (ZIP 64114)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | MO | |
| P O D I A T R Y | KS | |
| - | MO | |
| P O D I A T R Y | MO |
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