DARRYL A GREEN (MD) – Family Medicine Physician, NPI 1487655619

DARRYL A GREEN (MD) is a healthcare provider. based in Perryville, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 2004015323 (MO). The NPI Number for DARRYL A GREEN (MD) is 1487655619

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DARRYL A GREEN (MD)
NPI
1487655619
Phone
(573) 547-7888
Address
212 HOSPITAL LN
Enumeration Date
10 August 2005
Last Update Date
14 April 2011

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
5735477888
Graduation Year
2001 (25 years ago)
PAC ID
5799752523
Group Practice PAC ID
1153777826
Professional Enrollment ID
I20040913000349
Address ID
MO637754204PE212XXLNXX303
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

2,332 FAMILY PRACTICE in MO

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Provider Addresses for DARRYL A GREEN (MD)

  • 212, Hospital Lane, Perryville, Perry County, Missouri, 63775, United States

    SUITE 101

    PERRYVILLE, MO 637751276

    Phone: (573) 547-7888

    Fax: (573) 547-7343

    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 73 Open Payments records for all available years, with a total value of $1,541.

Total Amount is formed as General ($1,541) + Research ($0) + Ownership ($0) = $1,541.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($1,055).

Total Amount

$1,541

General + Research + Ownership

Payments

73

Total payment records

General Amount

$1,541

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

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: 2004-09-13

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040913000349IFamily PracticeMOTBD

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 63775)

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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: 1153777826View full group profile
NameSpecialtyState
Clinical Social WorkerMO
Nurse PractitionerMO
Nurse PractitionerMO
Diagnostic RadiologyTN
Diagnostic RadiologyMO
Pain Management, Anesthesiology, Anesthesiology, Pain ManagementMO
Diagnostic RadiologyMO
Diagnostic RadiologyMO
Diagnostic RadiologyMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

What is DARRYL A GREEN (MD)'s NPI number?
DARRYL A GREEN (MD)'s NPI is 1487655619 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DARRYL A GREEN (MD)?
For scheduling context, DARRYL A GREEN (MD) is shown as active in the registry.
What expertise is attributed to DARRYL A GREEN (MD)?
DARRYL A GREEN (MD)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Missouri is DARRYL A GREEN (MD) registered?
Use Perryville, Missouri as the headline location for DARRYL A GREEN (MD) here.
Can I trust this NPI listing for DARRYL A GREEN (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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