DR. JUSTIN JACOB GREEN (MD) – Dermatology Physician, NPI 1104894872
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
453 DERMATOLOGY in NJ
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Provider Addresses for DR. JUSTIN JACOB GREEN (MD)
10000 SAGEMORE DR STE 10101
MARLTON, NJ 080533944
Phone: (856) 596-0111
Fax: (856) 596-7194
Type: Mailing
100, Brick Road, The Promenade, Evesham Township, Burlington County, New Jersey, 08053-2146, United States
SUITE 306
MARLTON, NJ 080532146
Phone: (856) 596-0111
Fax: (856) 596-7194
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 127 Open Payments records for all available years, with a total value of $3,299.
Total Amount is formed as General ($3,299) + Research ($0) + Ownership ($0) = $3,299.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: LEO Pharma Inc. ($804).
Total Amount
$3,299
General + Research + Ownership
Payments
127
Total payment records
General Amount
$3,299
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| LEO Pharma Inc. | $804 |
| ABBVIE INC. | $375 |
| Sun Pharmaceutical Industries Inc. | $278 |
| E.R. Squibb & Sons, L.L.C. | $246 |
| PFIZER INC. | $202 |
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: 2010-11-12
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 |
|---|---|---|---|---|
| I20101112000968 | I | Dermatology | NJ | 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 | 2,398 | 384 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 918 | 674 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 671 | 480 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 494 | 410 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 228 | 192 | $0 |
Insurance plans in this area (ZIP 08053)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NJ | |
| D E R M A T O L O G Y | NJ | |
| Physician Assistant | NJ | |
| Dermatology, Emergency Medicine, Pediatric Medicine | PA | |
| D E R M A T O L O G Y | NJ | |
| Physician Assistant | PA | |
| Physician Assistant | NJ | |
| Physician Assistant | NJ | |
| D E R M A T O L O G Y | NJ | |
| D E R M A T O L O G Y | NJ |
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