MADISON GREEN (PA-C) – Physician Assistant, NPI 1508454661
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for MADISON GREEN (PA-C)
5141 N 30TH ST
TACOMA, WA 984073305
Phone: (360) 689-2262
Type: Mailing
1519 3RD ST SE
PUYALLUP, WA 983723742
Phone: (253) 841-8939
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 $2,091.
Total Amount is formed as General ($2,091) + Research ($0) + Ownership ($0) = $2,091.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: SI-BONE, INC. ($1,151).
Total Amount
$2,091
General + Research + Ownership
Payments
22
Total payment records
General Amount
$2,091
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SI-BONE, INC. | $1,151 |
| DePuy Synthes Sales Inc. | $382 |
| Boston Scientific Corporation | $312 |
| Medtronic, Inc. | $101 |
| Relievant Medsystems, Inc. | $60 |
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: 2021-10-28
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 |
|---|---|---|---|---|
| I20211028000831 | I | Physician Assistant | WA | 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 | 55 | 33 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 36 | 25 | $0 |
| 22614 | Fusion of additional segment of spine | 26 | 14 | $0 |
| 22842 | Placement of stabilizing device to back, 3-6 spine bone segments | 17 | 16 | $0 |
| 22840 | Placement of stabilizing device to back of 1 spine bone in neck | 15 | 15 | $0 |
Insurance plans in this area (ZIP 98407)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pain Management | WA | |
| Nurse Practitioner | HI | |
| A N E S T H E S I O L O G Y | WA | |
| P O D I A T R Y | WA | |
| Physician Assistant | WA | |
| Orthopedic Surgery | WA | |
| Nurse Practitioner | WA | |
| N E U R O S U R G E R Y | WA |
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