KODY GREEN (CNP) – Family Medicine Physician, NPI 1366193310
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for KODY GREEN (CNP)
1040 RICH HILL RD
CENTERBURG, OH 430113501
Phone: (740) 507-5107
Type: Mailing
3595 COLUMBUS RD
CENTERBURG, OH 430117088
Phone: (740) 625-6234
Fax: (740) 625-5806
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 201 Open Payments records for all available years, with a total value of $3,076.
Total Amount is formed as General ($3,076) + Research ($0) + Ownership ($0) = $3,076.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($834).
Total Amount
$3,076
General + Research + Ownership
Payments
201
Total payment records
General Amount
$3,076
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $834 |
| PFIZER INC. | $389 |
| AstraZeneca Pharmaceuticals LP | $364 |
| Novo Nordisk Inc | $211 |
| Corium, LLC | $118 |
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: 2022-10-25
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 |
|---|---|---|---|---|
| I20221025000934 | I | Nurse Practitioner | OH | 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 | 57 | 43 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 21 | 17 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 17 | $0 |
Insurance plans in this area (ZIP 43011)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| P O D I A T R Y | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Family Practice | OH | |
| Family Practice, Obstetrics/Gynecology | OH | |
| - | OH | |
| - | OH | |
| Certified Nurse Midwife (Cnm) | OH |
Reviews
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