DR. JARED GREEN (DO) – Cardiovascular Disease Physician, NPI 1104912708

DR. JARED GREEN (DO) is a healthcare provider. based in Reading, Pennsylvania. specializing in INTERNAL MEDICINE, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials DO. They hold a License No. OS 013715 (PA). The NPI Number for DR. JARED GREEN (DO) is 1104912708

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. JARED GREEN (DO)
NPI
1104912708
Phone
(484) 628-0796
Address
PO BOX 13579
Enumeration Date
4 October 2006
Last Update Date
19 August 2016

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
-
Graduation Year
2004 (22 years ago)
PAC ID
7416051610
Group Practice PAC ID
7618889213
Professional Enrollment ID
I20070328000212
Address ID
PA196112143WE420XXAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

9,962 INTERNAL MEDICINE in PA

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Provider Addresses for DR. JARED GREEN (DO)

  • PO BOX 13579

    READING, PA 196123579

    Phone: (484) 628-0796

    Fax: (484) 334-7026

    Type: Mailing

  • South 7th Avenue, West Reading, Berks County, Pennsylvania, 19611, United States

    SUITE 2020

    WEST READING, PA 196111410

    Phone: (610) 375-6565

    Fax: (610) 375-2065

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 105 Open Payments records for all available years, with a total value of $5,836.

Total Amount is formed as General ($5,836) + Research ($0) + Ownership ($0) = $5,836.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Impulse Dynamics (USA) Inc. ($3,809).

Total Amount

$5,836

General + Research + Ownership

Payments

105

Total payment records

General Amount

$5,836

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2007-03-28

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
I20070328000212ICardiovascular Disease (Cardiology)PATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3,3662,174$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report2,5241,951$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function607603$0
99215Established patient office or other outpatient visit, 40-54 minutes169139$0
93880Ultrasound of both sides of head and neck blood flow137137$0
View full utilization report →

Insurance plans in this area (ZIP 19612)

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Provider's Procedures

DR. JARED GREEN (DO) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)PA78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies1616
CARDIOVASCULAR DISEASE (CARDIOLOGY)PA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report15381180

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: 7618889213View full group profile
NameSpecialtyState
H O S P I T A L I S TPA
Certified Registered Nurse Anesthetist (Crna)PA
General Surgery, Critical Care (Intensivists)PA
-PA
-PA
N E U R O L O G YPA
Hospitalist, Internal MedicinePA
-PA
General SurgeryMO
Certified Registered Nurse Anesthetist (Crna)PA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JARED GREEN (DO)?
DR. JARED GREEN (DO) — NPI 1104912708 — is the standard way to identify this listing.
Is DR. JARED GREEN (DO) still practicing?
DR. JARED GREEN (DO) is currently listed as active in the public NPI registry.
What is DR. JARED GREEN (DO) best known for clinically?
Directory data describes DR. JARED GREEN (DO) with Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Does DR. JARED GREEN (DO) list a practice location?
Patients near Reading, Pennsylvania may find DR. JARED GREEN (DO) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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