GRETCHEN ELIZABETH GREEN M.D.
NPI 1053392084
Radiology - Diagnostic Radiology in Fayetteville, NC

Q: What is Gretchen Green's NPI number?

The NPI number for Gretchen Green is 1053392084. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Q: What is Gretchen Green's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Gretchen Green was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 08, 2005PECOS Enrolled

3186 VILLAGE DR STE 201, FAYETTEVILLE, NC 28304(910) 486-5700(910) 486-5950 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 3, 2017 (3 updates tracked since 2017).

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About Gretchen Elizabeth Green M.d. NPPES

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

GRETCHEN ELIZABETH GREEN M.D. (NPI 1053392084) is an individual diagnostic radiology provider in Fayetteville, North Carolina, licensed in North Carolina (2006-00722) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Greensboro.

NPPES Registry Identity

NPI1053392084

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameGRETCHEN ELIZABETH GREENCredential: M.D.

Location Address3186 VILLAGE DR STE 201Fayetteville, NC 28304-3979

Mailing Address3186 Village Drive, Suite 201Fayetteville, NC 28304 · (910) 486-5700 · Fax (910) 486-5950

Phone(910) 486-5700

Fax(910) 486-5950

Sole ProprietorYes

Enumeration DateNovember 8, 2005

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1053392084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in NC · 2006-00722✔ Licensed in VA · 0101244527

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

3186 VILLAGE DR STE 201, Fayetteville, NC 28304

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Secondary Practice Location 1

Location 11331 North Elm Street, Suite 200Greensboro, NC 27401-6304 · Phone (336) 274-9617 ext. 128 · Fax (336) 482-2177

Other Identifiers 2

Medicaid5904067NC

Medicaid1053392084NC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gretchen Elizabeth Green M.d. 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.

Medicare Billing Reassignments

Medicare enrollment records show Gretchen Green reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Valley Radiology P A

Same address

Diagnostic Radiology

3186 VILLAGE DR STE 201
Fayetteville, NC 28304

Reassigned Medicare billing, North Carolina enrollment
142 clinicians in this Medicare group

NPI 1093723538 (910) 486-5700

Bladen Healthcare, LLC

28 mi

Rural Health

16 3RD ST
Dublin, NC 28332

Reassigned Medicare billing, North Carolina enrollment
170 clinicians in this Medicare group

NPI 1114193695 (910) 862-3528

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques

Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…

98%267 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IRENE VASKO D.O.

Radiology (Diagnostic Radiology)