ALYSIA L GREEN MD
NPI 1013124296
Family Medicine - Sports Medicine in Evanston, IL

Q: What is Alysia Green's NPI number?

The NPI number for Alysia Green is 1013124296. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Q: What is Alysia Green's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Alysia Green was last updated on September 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 17, 2007PECOS Enrolled

633 EMERSON ST, EVANSTON, IL 60208(847) 491-8100(847) 491-5919 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 12, 2024, Apr 6, 2020, Mar 17, 2020 (3 updates tracked since 2020).

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About Alysia L Green Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYSIA L GREEN MD (NPI 1013124296) is an individual sports medicine provider in Evanston, Illinois, licensed in Illinois (036171538) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1013124296

Entity TypeIndividualFemale

Primary Taxonomy207QS0010X

Provider Legal NameALYSIA L GREENCredential: MD

Location Address633 EMERSON STEvanston, IL 60208-1394

Mailing Address801 Albany St, Fl GBoston, MA 02119-3791 · (617) 414-6034

Phone(847) 491-8100

Fax(847) 491-5919

Sole ProprietorNo

Enumeration DateMay 17, 2007

Last NPPES UpdateSeptember 12, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2024

✔ NPI 1013124296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

Licenses✔ Licensed in IL · 036171538✔ Licensed in MA · 232853

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

633 EMERSON ST, Evanston, IL 60208

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Secondary Practice Location 1

Location 1915 Commonwealth Ave RearBoston, MA 02215-1394 · Phone (617) 358-3400 · Fax (617) 358-3710

Other Identifiers 1

Medicaid110076162AMA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alysia L Green Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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