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MR. KEVIN JOSEPH GREEN P.A
NPI 1053521302
Physician Assistant in Johnstown, PA

Active since May 23, 2007PECOS Enrolled
1450 SCALP AVE, SUITE 106, JOHNSTOWN, PA 15904(814) 266-8466(814) 266-0177 Get Directions Write a Review

NPPES record last updated: April 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kevin Joseph Green P.a NPPES

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

MR. KEVIN JOSEPH GREEN P.A (NPI 1053521302) is an individual physician assistant in Johnstown, Pennsylvania, licensed in Pennsylvania (MA002387-L) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053521302
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. KEVIN JOSEPH GREENCredential: P.A
Location Address1450 SCALP AVE, SUITE 106Johnstown, PA 15904-3374
Mailing Address105 Alvin StJohnstown, PA 15904-1833 · (814) 266-1544 · Fax (814) 266-0177
Phone(814) 266-8466
Fax(814) 266-0177
Sole ProprietorNo
Enumeration DateMay 23, 2007
Last NPPES UpdateApril 25, 2014
✔ NPI 1053521302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA002387-L
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1450 SCALP AVE, Johnstown, PA 15904
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Other Identifiers 1

Medicare PIN130273PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kevin Joseph Green P.a 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 15904 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES 20

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

DR. SAHAR ELIAS MD
Family Medicine
1450 SCALP AVE, SUITE 1000
JOHNSTOWN, PA 15904
Cambria County (814) 269-5200
ERIN LYNN MARTELLA PA-C
Physician Assistant
1450 SCALP AVE, SUITE 106
JOHNSTOWN, PA 15904
Cambria County (814) 266-8466
CONEMAUGH HEALTH INITIATIVES
Psychologist
1450 SCALP AVE
JOHNSTOWN, PA 15904
Cambria County (814) 262-4236
CONEMAUGH HEALTH INITIATIVES
Emergency Medicine
1450 SCALP AVE
JOHNSTOWN, PA 15904
Cambria County (814) 269-5200
CONEMAUGH HEALTH INITIATIVES
Family Medicine
1450 SCALP AVE
JOHNSTOWN, PA 15904
Cambria County (814) 266-1189
LUCINDA MARSH
Registered Nurse
1450 SCALP AVE
JOHNSTOWN, PA 15904
Cambria County (814) 955-7475
KEVIN T MURTHA MD
Family Medicine
1450 SCALP AVE, SUITE 003B
JOHNSTOWN, PA 15904
Cambria County (814) 269-9551
LINDSAY WALKER PA-C
Physician Assistant (Medical)
1450 SCALP AVE, SUITE 1000
JOHNSTOWN, PA 15904
Cambria County (814) 269-5200

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 Kevin Green's NPI number?

The NPI number for Kevin Green is 1053521302. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Kevin Green located?

Kevin Green practices at 1450 Scalp Ave Suite 106, Johnstown, PA 15904. The listed phone number is (814) 266-8466.

What is Kevin Green's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kevin Green enrolled in Medicare?

Yes. Kevin Green is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Green was last updated on April 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.