DR. NORMAN XAVIER GREENE (M.D.) – Obstetrics & Gynecology Physician, NPI 1104026210

DR. NORMAN XAVIER GREENE (M.D.) is a healthcare provider. based in Bellefontaine, Ohio. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 245150 (NY). The NPI Number for DR. NORMAN XAVIER GREENE (M.D.) is 1104026210

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. NORMAN XAVIER GREENE (M.D.)
NPI
1104026210
Phone
(937) 599-3538
Address
1125 RUSH AVE
Enumeration Date
18 July 2007
Last Update Date
9 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9375924015
Graduation Year
2001 (25 years ago)
PAC ID
1355437930
Group Practice PAC ID
9032013792
Professional Enrollment ID
I20170830001298
Address ID
OH433112281BE205XXRDXX400

Contacts

Main Contact
norman.greene@maryrutan.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:18State licenses:2Other namesUpdated within 12 months

1,818 OBSTETRICS/GYNECOLOGY in OH

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Provider Addresses for DR. NORMAN XAVIER GREENE (M.D.)

  • 1125, Rush Avenue, Bellefontaine, Lake Township, Logan County, Ohio, 43311, United States

    BELLEFONTAINE, OH 433119488

    Phone: (937) 599-3538

    Fax: (937) 599-4712

    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 3 Open Payments records for all available years, with a total value of $112.

Total Amount is formed as General ($112) + Research ($0) + Ownership ($0) = $112.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Applied Medical Resources Corporation ($73).

Total Amount

$112

General + Research + Ownership

Payments

3

Total payment records

General Amount

$112

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-08-30

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
I20170830001298IObstetrics/GynecologyOHTBD

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 43311)

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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: 9032013792View full group profile
NameSpecialtyState
-OH
Orthopedic SurgeryOH
Cardiovascular Disease (Cardiology)OH
-OH
A N E S T H E S I O L O G YOH
Plastic And Reconstructive SurgeryOH
Nurse PractitionerOH
General SurgeryOH
-OH
Internal Medicine, Cardiovascular Disease (Cardiology)OH

Reviews

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Frequently asked questions

What is the standard ID for DR. NORMAN XAVIER GREENE (M.D.) in the U.S.?
In the U.S., DR. NORMAN XAVIER GREENE (M.D.) is identified by NPI 1104026210.
Should I treat DR. NORMAN XAVIER GREENE (M.D.) as an active provider?
Patients and plans typically see DR. NORMAN XAVIER GREENE (M.D.) as active in the national extract.
Which specialty label fits DR. NORMAN XAVIER GREENE (M.D.)?
NPPES ties DR. NORMAN XAVIER GREENE (M.D.) to Obstetrics & Gynecology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. NORMAN XAVIER GREENE (M.D.) tied to Bellefontaine, Ohio?
If you are local to Bellefontaine, Ohio, DR. NORMAN XAVIER GREENE (M.D.) may be relevant to your search.
Why is information missing for DR. NORMAN XAVIER GREENE (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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