SEAN E GREEN (PA-C) – Physician Assistant, NPI 1679585517

SEAN E GREEN (PA-C) is a healthcare provider. based in Canyon, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA01160 (TX). The NPI Number for SEAN E GREEN (PA-C) is 1679585517

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
SEAN E GREEN (PA-C)
NPI
1679585517
Phone
(806) 655-2104
Address
911 23RD ST
Enumeration Date
12 August 2006
Last Update Date
22 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8066552104
Graduation Year
1992 (34 years ago)
PAC ID
2062453160
Group Practice PAC ID
9133341795
Professional Enrollment ID
I20050519000162
Address ID
TX790154645CA911XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,584 PHYSICIAN ASSISTANT in TX

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Provider Addresses for SEAN E GREEN (PA-C)

  • CareXpress Urgent Care, 911, 23rd Street, Canyon, Randall County, Texas, 79015, United States

    CANYON, TX 790154600

    Phone: (806) 655-2104

    Fax: (806) 655-0522

    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 37 Open Payments records for all available years, with a total value of $480.

Total Amount is formed as General ($480) + Research ($0) + Ownership ($0) = $480.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($135).

Total Amount

$480

General + Research + Ownership

Payments

37

Total payment records

General Amount

$480

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: 2005-05-19

PECOS data refreshed: 2026-06-15

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
I20050519000162IPhysician AssistantTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes554320$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month43955$0
99215Established patient office or other outpatient visit, 40-54 minutes10576$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza7573$0
81003Automated urinalysis test7361$0
View full utilization report →

Insurance plans in this area (ZIP 79015)

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Provider's Procedures

SEAN E GREEN (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTTX90670Pneumococcal vaccine for injection into muscle1919

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: 9133341795View full group profile

Reviews

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Frequently asked questions

Does SEAN E GREEN (PA-C) have a public NPI I can cite?
Public records show SEAN E GREEN (PA-C) under NPI 1679585517.
Is SEAN E GREEN (PA-C)'s NPI status active today?
Active status means SEAN E GREEN (PA-C)'s NPI record is not deactivated in the public file.
What does the directory say SEAN E GREEN (PA-C) does?
Insurance directories may phrase it differently, but here SEAN E GREEN (PA-C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SEAN E GREEN (PA-C)?
SEAN E GREEN (PA-C) is associated with Canyon, Texas in the same public data insurers reference.
Who maintains SEAN E GREEN (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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