JAMES GREEN D.O.
NPI 1083000855
Family Medicine in Puyallup, WA

Q: What is James Green's NPI number?

The NPI number for James Green is 1083000855. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Q: What is James Green's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for James Green was last updated on August 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since April 08, 2015PECOS Enrolled

1322 3RD ST SE, SUITE 240, PUYALLUP, WA 98372(253) 697-1420(253) 697-1439 Get Directions Write a Review

NPPES record last updated: August 3, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About James Green D.o. NPPES

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

JAMES GREEN D.O. (NPI 1083000855) is an individual family medicine provider in Puyallup, Washington, licensed in Utah (10748354-1204) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Puyallup.

NPPES Registry Identity

NPI1083000855

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJAMES GREENCredential: D.O.

Location Address1322 3RD ST SE, SUITE 240Puyallup, WA 98372

Mailing Address2493 S Wildcat Way Unit BWoods Cross, UT 84010-8292 · (801) 693-3020

Phone(253) 697-1420

Fax(253) 697-1439

Sole ProprietorNo

Enumeration DateApril 8, 2015

Last NPPES UpdateAugust 3, 2018

✔ NPI 1083000855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in UT · 10748354-1204

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1322 3RD ST SE, Puyallup, WA 98372

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Secondary Practice Location 1

Location 11322 3rd St SE, Suite 240Puyallup, WA 98372-3771 · Phone (253) 697-1420 · Fax (253) 697-1439

Other Identifiers 1

Medicaid3007238UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Health Plan of the Southwest, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James 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 Billing Reassignments

Medicare enrollment records show James Green reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Project Reality

686 mi

Mental Health

5282 S COMMERCE DR
Salt Lake City, UT 84107

Reassigned Medicare billing, Utah enrollment
11 clinicians in this Medicare group

NPI 1134211626 (385) 881-0170

Physician Group Of Utah Inc

690 mi

Specialist

406 W SOUTH JORDAN PKWY, SUITE 500
South Jordan, UT 84095

Reassigned Medicare billing, Utah enrollment
254 clinicians in this Medicare group

NPI 1477676930 (801) 984-3418

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98372 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$59.88 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$31.52 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 12

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

DR. MICHAEL WILLIAM GILLILAND M.D.

Anesthesiology (Pain Medicine)

1322 3RD ST SE, SUITE 100
PUYALLUP, WA 98372

Pierce County (253) 697-4128

DR. VENITA LENA SCHANDORF DNP, ARNP, FNP-BC

Nurse Practitioner (Family)

1322 3RD ST SE
PUYALLUP, WA 98372

Pierce County (253) 697-1420

CHANDNI SHARMA DO

Student in an Organized Health Care Education/Training Program

1322 3RD ST SE, #300
PUYALLUP, WA 98372

Pierce County (253) 697-1420

DR. JULIANNE RAMIREZ-NADJM PHARMD

Pharmacist

1322 3RD ST SE
PUYALLUP, WA 98372

Pierce County (253) 697-1356

DR. RYAN PATRICK FINN D.O.

Student in an Organized Health Care Education/Training Program

1322 3RD ST SE, SUITE 240
PUYALLUP, WA 98372

Pierce County (253) 697-1420

PUYALLUP VALLEY PEDIATRIC ASSOCIATES, P.S.

Pediatrics (Adolescent Medicine)

1322 3RD ST SE, SUITE #240
PUYALLUP, WA 98372

Pierce County (253) 848-1572

SOUND SURGICAL ASSOCIATES

Surgery

1322 3RD ST SE, SUITE 220
PUYALLUP, WA 98372

Pierce County (253) 697-4140

MARY LOUISE GRODA-LEWIS MD

Family Medicine

1322 3RD ST SE, STE 240
PUYALLUP, WA 98372

Pierce County (253) 697-5757

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 James Green's NPI number?

The NPI number for James Green is 1083000855. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Where is James Green located?

James Green practices at 1322 3rd St SE Suite 240, Puyallup, WA 98372. The listed phone number is (253) 697-1420.

What is James Green's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Green enrolled in Medicare?

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

Which organizations bill Medicare for James Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Green reassigns Medicare benefits to 2 organizations: Project Reality (Salt Lake City, UT) and Physician Group Of Utah Inc (South Jordan, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Green accept?

Health plans from Imperial Health Plan of the Southwest, Inc. list James 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 James Green was last updated on August 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.