Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MICHAEL MATTHEW GREEN D.O.
NPI 1063665719
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine in Boise, ID

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Michael Green was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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 October 28, 2008PECOS Enrolled

95.91/100

CMS Quality Rating

305 E JEFFERSON ST, BOISE, ID 83712(208) 381-5111(208) 381-5112 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 22, 2026, Dec 10, 2021, Nov 2, 2021 and 1 more (4 updates tracked since 2017).

On this page

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 Boise, Idaho, licensed in Idaho (O-1557) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1063665719

Entity TypeIndividualMale

Primary Taxonomy2081P0010X

Provider Legal NameDR. MICHAEL MATTHEW GREENCredential: D.O.

Location Address305 E JEFFERSON STBoise, ID 83712-6231

Mailing Address190 E Bannock StBoise, ID 83712-6241

Phone(208) 381-5111

Fax(208) 381-5112

Sole ProprietorNo

Enumeration DateOctober 28, 2008

Last NPPES UpdateSeptember 22, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2026

✔ 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 ID · O-1557✔ Licensed in MO · 2011017820✔ Licensed in UT · 8728465-1204

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)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

305 E JEFFERSON ST, Boise, ID 83712

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Secondary Practice Location 1

Location 181 N Mario Capecchi Dr, Department of PediatricsSalt Lake City, UT 84113-1125 · Phone (801) 213-7737 · Fax (801) 587-7539

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Medica, Molina Healthcare 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 (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

Quality

92.58

Promoting Interoperability

100

Improvement Activities

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.

HAILEY LIZABETH COLLETTE MS

Dietitian, Registered (Nutrition, Pediatric)