EDWARD GREEN MD
NPI 1073719803
Radiology - Diagnostic Radiology in Jackson, MS

Active since June 27, 2007PECOS EnrolledAccepts Medicare Assignment
86.49/100
CMS Quality Rating
969 LAKELAND DR, JACKSON, MS 39216(601) 200-6162 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 6, 2022, Apr 13, 2022, Dec 3, 2015 (3 updates tracked since 2015).

About Edward Green Md NPPES

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

EDWARD GREEN MD (NPI 1073719803) is an individual diagnostic radiology provider in Jackson, Mississippi, licensed in Mississippi (17833) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Merit Health River Region, and is a graduate of University Of Arkansas College Of Medicine (2001).

NPPES Registry Identity

NPI1073719803
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameEDWARD GREENCredential: MD
Location Address969 LAKELAND DRJackson, MS 39216-4606
Mailing AddressPo Box 23073Jackson, MS 39225-3073 · (601) 200-6162
Sole ProprietorYes
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2001
Enumeration DateJune 27, 2007
Last NPPES UpdateOctober 6, 20223 updates tracked since enumeration
NPPES CertifiedOctober 6, 2022
NPI 1073719803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in MS · 17833 Licensed in NC · 135313
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

969 LAKELAND DR, Jackson, MS 39216

Other Identifiers 3

Other512I360002MS · Ptan
Medicaid179024AL
OtherP01195515MS · Railroad Medicare Ptan

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 and accepts Medicare assignment

Edward 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 ID648345223
PECOS Enrollment IDI20080826000630
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 56

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 chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
1,162 services995 patients
Nuclear medicine study from skull base to mid-thigh with ct scan 78815
A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
916 services710 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
407 services398 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
175 services155 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
132 services130 patients
Nuclear medicine study of liver and bile duct system 78226
A nuclear medicine study of the liver and bile duct system involves the use of a small amount of radioactive material to create detailed images. This helps doctors examine the liver's function and structure, and detect any abnormalities in the bile ducts.
122 services121 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Merit Health River Region

Acute Care Hospitals · Vicksburg, MS
2/5 CMS rating
OwnershipProprietary
CMS Certification Number250031
Location2100 Hwy 61 NVicksburg, MS 39183 · Warren County
Emergency services Birthing friendly

St Dominic-Jackson Memorial Hospital

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number250048
Location969 Lakeland DrJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

Southwest Ms Regional Medical Center

Acute Care Hospitals · Mccomb, MS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250097
Location215 Marion Av Box 1307Mccomb, MS 39649 · Pike County
Emergency services Birthing friendly

Greenwood Leflore Hospital

Acute Care Hospitals · Greenwood, MS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250099
Location1401 River RdGreenwood, MS 38930 · Leflore County
Emergency services

Merit Health River Oaks

Acute Care Hospitals · Flowood, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250138
Location1030 River Oaks DriveFlowood, MS 39232 · Rankin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

86.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost51.89

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.

Internal Medicine
969 LAKELAND DR
JACKSON, MS 39216
Pharmacy (Institutional Pharmacy)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner
969 LAKELAND DR
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Emergency Medicine
969 LAKELAND DR
JACKSON, MS 39216

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 Edward Green's NPI number?

The NPI number for Edward Green is 1073719803. It was assigned to this individual provider in the NPPES registry on June 27, 2007.

Where is Edward Green located?

Edward Green practices at 969 Lakeland Dr, Jackson, MS 39216. The listed phone number is (601) 200-6162.

What is Edward Green's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Edward Green enrolled in Medicare?

Yes. Edward 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 Edward Green accept?

Health plans from Blue Cross and Blue Shield of Alabama and Oscar Health Plan, Inc. list Edward 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.

Is Edward Green affiliated with any hospitals?

According to CMS data, Edward Green is affiliated with Merit Health River Region, St Dominic-Jackson Memorial Hospital, Southwest Ms Regional Medical Center, Greenwood Leflore Hospital and Merit Health River Oaks.

When was this NPI record last updated?

The NPPES record for Edward Green was last updated on October 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.