DR. MICHAEL LEWIS JR. GREEN (M.D.) – Surgery Physician, NPI 1134165566
Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,646 GENERAL SURGERY in TX
Provider Addresses for DR. MICHAEL LEWIS JR. GREEN (M.D.)
900 JEROME ST
SUITE 204
FORT WORTH, TX 761043945
Phone: (817) 720-9552
Fax: (817) 921-1830
Type: Location
Medical Center, 900, Jerome Street, Fort Worth, Tarrant County, Texas, 76102, United States
SUITE 204
FORT WORTH, TX 76104
Phone: (817) 720-9552
Fax: (817) 921-1830
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 51 Open Payments records for all available years, with a total value of $11,377.
Total Amount is formed as General ($11,377) + Research ($0) + Ownership ($0) = $11,377.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($7,262).
Total Amount
$11,377
General + Research + Ownership
Payments
51
Total payment records
General Amount
$11,377
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
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $7,262 |
| Medtronic, Inc. | $2,520 |
| Teleflex LLC | $237 |
| COLOPLAST CORP | $179 |
| Baxter Healthcare | $173 |
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: 2004-04-06
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 |
|---|---|---|---|---|
| I20040406001116 | I | General Surgery | TX | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 91 | 52 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 14 | 14 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 76104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | GA | |
| Nurse Practitioner | TX | |
| General Surgery | TX | |
| Family Practice | TX | |
| Physician Assistant | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| Physician Assistant | TX |
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