BRYAN ROBERT GREEN (MD) – Family Medicine Physician, NPI 1295791366
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,330 FAMILY PRACTICE in MO
Provider Addresses for BRYAN ROBERT GREEN (MD)
3817 S Springfield Ave Ste 140
Bolivar, MO 656139129
Phone: (417) 422-4769
Type: Location
2016 S MAIN ST
MARYVILLE, MO 644682655
Phone: (660) 562-2525
Fax: (660) 562-7996
Type: Mailing
3817 S SPRINGFIELD AVE STE 140
BOLIVAR, MO 656139129
Phone: (417) 422-4769
Type: Mailing
5210, North Belt Highway, Saint Joseph, Buchanan County, Missouri, 64506, United States
SAINT JOSEPH, MO 645061211
Phone: (816) 271-1330
Fax: (816) 271-1333
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2005-12-21
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 |
|---|---|---|---|---|
| I20051221000027 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 34 | 31 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 29 | 23 | $0 |
Insurance plans in this area (ZIP 65613)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Emergency Medicine | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| A N E S T H E S I O L O G Y | MO | |
| A N E S T H E S I O L O G Y | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| A N E S T H E S I O L O G Y | MO | |
| - | MO | |
| Emergency Medicine | LA |
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