MIYOKO STEPHANIE GREEN PA-C
NPI 1063853893
Physician Assistant in Colorado Springs, CO

Q: What is Miyoko Green's NPI number?

The NPI number for Miyoko Green is 1063853893. It was assigned to this individual provider in the NPPES registry on July 9, 2013. The provider is also known as Miyoko G. Ivis Pa-C.

Q: What is Miyoko Green's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Miyoko Green was last updated on November 26, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 09, 2013PECOS EnrolledAccepts Medicare Assignment

2446 RESEARCH PKWY, SUITE 200, COLORADO SPRINGS, CO 80920(719) 623-1050(719) 623-1052 Get Directions Write a Review

NPPES record last updated: November 26, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Miyoko Stephanie Green Pa-c NPPES

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

MIYOKO STEPHANIE GREEN PA-C (NPI 1063853893) is an individual physician assistant in Colorado Springs, Colorado, licensed in Colorado (PA0003732) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1063853893

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMIYOKO STEPHANIE GREENCredential: PA-C

Location Address2446 RESEARCH PKWY, SUITE 200Colorado Springs, CO 80920-1087

Mailing Address2446 Research Pkwy, Suite 200Colorado Springs, CO 80920-1087 · (719) 623-1050 · Fax (719) 623-1052

Phone(719) 623-1050

Fax(719) 623-1052

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 9, 2013

Last NPPES UpdateNovember 26, 2018

✔ NPI 1063853893 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 CO · PA0003732

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.

2446 RESEARCH PKWY, Colorado Springs, CO 80920

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Other Names 1

Former Name (1)Miyoko G. Ivis Pa-c

Other Identifiers 1

Medicaid04927729CO

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

Miyoko Stephanie Green Pa-c 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 ID4082840418

PECOS Enrollment IDI20131113001396

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 10

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.

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

161 services111 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.

146 services126 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

140 services20 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

116 services90 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

46 services46 patients

X-ray of foot, 2 views 73620

An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.

23 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80920 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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.

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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.

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