ANDREW GREEN (M.D.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1932149887

ANDREW GREEN (M.D.) is a healthcare provider. based in Providence, Rhode Island. specializing in ORTHOPEDIC SURGERY, SPORTS MEDICINE. They hold the professional credentials M.D.. They hold a License No. 08413 (RI). The NPI Number for ANDREW GREEN (M.D.) is 1932149887

Main info

Male
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW GREEN (M.D.)
NPI
1932149887
Phone
(401) 457-1515
Address
PO BOX 1119
Enumeration Date
8 June 2006
Last Update Date
9 July 2014

Doctor Profile

Medical School Name
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
4014571500
Graduation Year
1987 (39 years ago)
PAC ID
4789709544
Group Practice PAC ID
9931000395
Professional Enrollment ID
I20100916000725
Address ID
RI029053248PR2XXXXSTXX303
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

182 ORTHOPEDIC SURGERY in RI

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Provider Addresses for ANDREW GREEN (M.D.)

  • 1119, Providence Road, Providence, Hampton, Baltimore County, Maryland, 21286, United States

    PROVIDENCE, RI 029011119

    Phone: (401) 457-1515

    Type: Mailing

  • 2, Dudley Street, Providence, Providence County, Rhode Island, 02905, United States

    STE 200

    PROVIDENCE, RI 029053236

    Phone: (401) 457-1515

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 60 Open Payments records for all available years, with a total value of $210,898.

Total Amount is formed as General ($210,898) + Research ($0) + Ownership ($0) = $210,898.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Stryker Corporation ($111,586).

Total Amount

$210,898

General + Research + Ownership

Payments

60

Total payment records

General Amount

$210,898

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

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: 2022-03-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20100916000725IOrthopedic SurgeryRITBD
I20220323001524IOrthopedic SurgeryMATBD

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
73030X-ray of shoulder, minimum of 2 views774474$0
99213Established patient office or other outpatient visit, 20-29 minutes325224$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg20243$0
99214Established patient office or other outpatient visit, 30-39 minutes137131$0
99204New patient office or other outpatient visit, 45-59 minutes6565$0
View full utilization report →

Insurance plans in this area (ZIP 02901)

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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: 9931000395View full group profile
NameSpecialtyState
Orthopedic SurgeryRI
Physical Therapist In Private PracticeRI
Physical Therapist In Private PracticeMA
Orthopedic SurgeryRI
Orthopedic SurgeryRI
Nurse PractitionerRI
-RI
Orthopedic SurgeryRI
-RI
Physical Therapist In Private PracticeRI

Reviews

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Frequently asked questions

Is there an official ID for ANDREW GREEN (M.D.) in U.S. healthcare records?
The official identifier for ANDREW GREEN (M.D.) is NPI 1932149887.
Would ANDREW GREEN (M.D.) appear as active to a payer?
You can treat ANDREW GREEN (M.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is ANDREW GREEN (M.D.)?
ANDREW GREEN (M.D.) is associated with Sports Medicine (Orthopaedic Surgery) Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with ANDREW GREEN (M.D.)?
Directory geography for ANDREW GREEN (M.D.) centers on Providence, Rhode Island.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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