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MICHAEL E GREEN MD
NPI 1053414581
Ophthalmology in Gallatin, TN

Active since September 07, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
854 LONE OAK DRIVE, GALLATIN, TN 37066(615) 452-1602(615) 451-0139 Get Directions Write a Review

NPPES record last updated: March 23, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael E Green Md NPPES

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

MICHAEL E GREEN MD (NPI 1053414581) is an individual ophthalmology provider in Gallatin, Tennessee, licensed in Tennessee (MD0000025545) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (1990).

NPPES Registry Identity

NPI1053414581
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMICHAEL E GREENCredential: MD
Location Address854 LONE OAK DRIVEGallatin, TN 37066
Mailing Address854 Lone Oak DriveGallatin, TN 37066 · (615) 452-1602 · Fax (615) 451-0139
Phone(615) 452-1602
Fax(615) 451-0139
Sole ProprietorYes
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1990
Enumeration DateSeptember 7, 2006
Last NPPES UpdateMarch 23, 2010
✔ NPI 1053414581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in TN · MD0000025545✔ Licensed in AR · C7923
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
854 LONE OAK DRIVE, Gallatin, TN 37066
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Other Identifiers 18

Other0191345Tenncare Select
OtherNASH86608Phcs
Other4480107Aetna
Other2680132004Cigna Flex
Medicaid3373178TN
Medicare PIN180019007TN
OtherTN5545Eyemed
Other282865One Health
Other905714Block Vision
Other621571208003Cigna
Other2680132003Cigna Commercial
Medicare UPINF88358
Medicare ID-Type Unspecified3083540TN · Individual
Medicaid3083540TN
Other0840119United Healthcare
Medicare ID-Type Unspecified3373178TN · Group
Other0191345TN · Blue Cross Blue Shield
Other877710Clarity Vision

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael E Green Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608962980
PECOS Enrollment IDI20111018000230
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.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
855 services806 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
364 services302 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
277 services277 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
243 services142 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
232 services222 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
162 services150 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37066 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier26 claims26 services$59.25 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers11 claims18 services$41.26 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier14 claims23 services$57.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

GREEN SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
854 LONE OAK DRIVE
GALLATIN, TN 37066
Sumner County (615) 452-1602

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Green's NPI number?

The NPI number for Michael Green is 1053414581. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Michael Green located?

Michael Green practices at 854 Lone Oak Drive, Gallatin, TN 37066. The listed phone number is (615) 452-1602.

What is Michael Green's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Michael Green enrolled in Medicare?

Yes. Michael Green is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Green accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee and Oscar Insurance Company and 1 other insurer list Michael Green as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Green was last updated on March 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.