RICHARD K. JR. GREEN (M.D.) – Surgery of the Hand (Surgery) Physician, NPI 1215935218

RICHARD K. JR. GREEN (M.D.) is a healthcare provider. based in Vancouver, Washington. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials M.D.. They hold a License No. MD00033630 (WA). The NPI Number for RICHARD K. JR. GREEN (M.D.) is 1215935218

Main info

Male
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD K. JR. GREEN (M.D.)
NPI
1215935218
Phone
(360) 687-5221
Address
PO BOX 821350
Enumeration Date
13 July 2005
Last Update Date
19 July 2011

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1992 (34 years ago)
PAC ID
6608804885
Group Practice PAC ID
7113021478
Professional Enrollment ID
I20070515000530
Address ID
WA986852628Va13712AVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

147 PLASTIC AND RECONSTRUCTIVE SURGERY in WA

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Provider Addresses for RICHARD K. JR. GREEN (M.D.)

  • Surrey Parks 110A Sullivan Street Sports Box, Sullivan Street, Crescent Beach, South Surrey, Surrey, Metro Vancouver Regional District, British Columbia, V4A 3V2, Canada

    VANCOUVER, WA 986820030

    Phone: (360) 687-5221

    Fax: (360) 666-0466

    Type: Mailing

  • Northeast 10th Avenue, Hazel Dell, Vancouver, Clark County, Washington, 98663, United States

    VANCOUVER, WA 986852628

    Phone: (360) 823-0860

    Fax: (360) 828-1407

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $220.

Total Amount is formed as General ($220) + Research ($0) + Ownership ($0) = $220.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: PROCEPT BioRobotics Corporation ($109).

Total Amount

$220

General + Research + Ownership

Payments

7

Total payment records

General Amount

$220

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2007-05-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070515000530IPlastic And Reconstructive SurgeryWATBD

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
17003Destruction of precancer skin growth, 2-14 growths8813$0
99212Established patient office or other outpatient visit, 10-19 minutes3927$0
17000Destruction of precancer skin growth, 1 growth2416$0
99213Established patient office or other outpatient visit, 20-29 minutes2422$0
99203New patient office or other outpatient visit, 30-44 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 98682)

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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: 7113021478View full group profile
NameSpecialtyState
Plastic And Reconstructive SurgeryWA
Plastic And Reconstructive SurgeryOR

Reviews

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Frequently asked questions

What is the 10-digit NPI for RICHARD K. JR. GREEN (M.D.)?
RICHARD K. JR. GREEN (M.D.) — NPI 1215935218 — is the standard way to identify this listing.
Does CMS list RICHARD K. JR. GREEN (M.D.) as active?
Yes — RICHARD K. JR. GREEN (M.D.) is active in the NPI listing used on this page.
What is RICHARD K. JR. GREEN (M.D.)'s specialty?
The listing groups RICHARD K. JR. GREEN (M.D.) with Surgery of the Hand (Surgery) Physician. Clinical services aligned with this taxonomy classification.
Where is RICHARD K. JR. GREEN (M.D.) based?
RICHARD K. JR. GREEN (M.D.) is tied to Vancouver, Washington in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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