DR. MICHAEL MATTHEW GREEN D.O.
NPI 1063665719
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine in Salt Lake City, UT

Active since October 28, 2008PECOS Enrolled
95.91/100
CMS Quality Rating
81 N MARIO CAPECCHI DR, DEPARTMENT OF PEDIATRICS, SALT LAKE CITY, UT 84113(801) 213-7737(801) 587-7539 Get Directions Write a Review

NPPES record last updated: December 10, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 10, 2021, Nov 2, 2021, Jun 5, 2017 (3 updates tracked since 2017).

About Dr. Michael Matthew Green D.o. NPPES

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

DR. MICHAEL MATTHEW GREEN D.O. (NPI 1063665719) is an individual pediatric rehabilitation medicine provider in Salt Lake City, Utah, licensed in Utah (8728465-1204) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063665719
Entity TypeIndividualMale
Primary Taxonomy2081P0010X
Provider Legal NameDR. MICHAEL MATTHEW GREENCredential: D.O.
Location Address81 N MARIO CAPECCHI DR, DEPARTMENT OF PEDIATRICSSalt Lake City, UT 84113-1125
Mailing Address81 N Mario Capecchi Dr, Department Of PediatricsSalt Lake City, UT 84113-1125 · (801) 213-7737 · Fax (801) 587-7539
Fax(801) 587-7539
Sole ProprietorNo
Enumeration DateOctober 28, 2008
Last NPPES UpdateDecember 10, 20213 updates tracked since enumeration
NPPES CertifiedDecember 10, 2021
NPI 1063665719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPhysical Medicine & Rehabilitation · Pediatric Rehabilitation MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P0010X
Licenses Licensed in UT · 8728465-1204 Licensed in MO · 2011017820
Definition

A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License BP10031712 (TX)
Also ListedPhysical Medicine & Rehabilitation · Brain Injury MedicineTaxonomy 2081P0301X · License 8728465-1204 (UT)
81 N MARIO CAPECCHI DR, Salt Lake City, UT 84113

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Michael Matthew Green D.o. 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 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.

95.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.58
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Iv pole E0776
DME-Other DME · category DE000N
1 supplier12 claims12 services$3.89 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 20

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

Social Worker (Clinical)
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Nurse Practitioner (Primary Care)
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Nurse Practitioner (Family)
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Psychologist
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Pediatrics
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Pediatrics
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Pediatrics
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Pediatrics
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113

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 1063665719. It was assigned to this individual provider in the NPPES registry on October 28, 2008.

Where is Michael Green located?

Michael Green practices at 81 N Mario Capecchi Dr Department Of Pediatrics, Salt Lake City, UT 84113. The listed phone number is (801) 213-7737.

What is Michael Green's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine, with taxonomy code 2081P0010X.

Is Michael Green enrolled in Medicare?

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

What insurance does Michael Green accept?

Health plans from BridgeSpan Health Company, Medica, Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health 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 December 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.