DR. LESLIE A GREENE (M.D.) – Family Medicine Physician, NPI 1043478993
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,141 FAMILY PRACTICE in WA
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Provider Addresses for DR. LESLIE A GREENE (M.D.)
PO BOX 5127
EVERETT, WA 982065127
Phone: (425) 258-3900
Type: Mailing
Gunderson Building, 3927, Rucker Avenue, Everett, Snohomish County, Washington, 98201, United States
EVERETT, WA 982014833
Phone: (425) 339-5422
Fax: (425) 339-5444
Type: Location
6100 NE Fourth Plain Blvd
Vancouver, WA 986616830
Phone: (360) 947-2550
Fax: (360) 947-2533
Type: Location
5 Central Maine Xing
Gardiner, ME 043456320
Phone: (207) 582-6608
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-02-12
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 |
|---|---|---|---|---|
| I20151016001145 | I | Family Practice | WA | TBD |
| I20250212001103 | I | Family Practice | ME | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98206)
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Group practice members
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