JARED A GREEN (PA-C) – Physician Assistant, NPI 1134198419
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
Provider Addresses for JARED A GREEN (PA-C)
1055 NORTH 500 WEST ATTN: CREDENTIALING
PROVO, UT 846043305
Phone: (801) 354-8225
Fax: (801) 418-0941
Type: Mailing
1870 N MAIN ST STE 201
CEDAR CITY, UT 847217742
Phone: (435) 383-9009
Fax: (435) 383-9010
Type: Location
2825 E Mall Dr
St George, UT 847901954
Phone: (801) 354-8225
Type: Location
860 N Main St Ste B
Richfield, UT 847011805
Phone: (435) 215-0646
Fax: (435) 215-0451
Type: Location
1320, North Main Street, Cedar City, Iron County, Utah, 84721, United States
CEDAR CITY, UT 84721
Phone: (435) 251-2900
Fax: (435) 251-2901
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $710.
Total Amount is formed as General ($710) + Research ($0) + Ownership ($0) = $710.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Medtronic, Inc. ($458).
Total Amount
$710
General + Research + Ownership
Payments
22
Total payment records
General Amount
$710
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-05-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130312000161 | I | Physician Assistant | UT | TBD |
| I20210524001459 | I | Physician Assistant | NV | 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 | 859 | 363 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 109 | 109 | $0 |
| 36471 | Injection of chemical agent into multiple incompetent veins of leg | 76 | 36 | $0 |
| 36482 | Chemical destruction of first incompetent vein of arm or leg using imaging guidance | 58 | 25 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 45 | 27 | $0 |
Insurance plans in this area (ZIP 84604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| - | UT | |
| Physical Therapist In Private Practice | UT | |
| Orthopedic Surgery | UT | |
| Nurse Practitioner | OR | |
| - | FL | |
| - | UT | |
| - | UT | |
| Nurse Practitioner | UT | |
| - | UT |
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