1. Home
  2. Directory
  3. Oklahoma
  4. Blackwell
  5. Family Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PHIL JAMES GREEN PAC
NPI 1083610752
Family Medicine in Blackwell, OK

Active since June 27, 2005PECOS Enrolled
1009 W FERGUSON AVE, BLACKWELL, OK 74631(580) 363-0052(580) 363-0894 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phil James Green Pac NPPES

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

PHIL JAMES GREEN PAC (NPI 1083610752) is an individual family medicine provider in Blackwell, Oklahoma, licensed in Oklahoma (PA800) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Integris Health Ponca City, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1083610752
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePHIL JAMES GREENCredential: PAC
Location Address1009 W FERGUSON AVEBlackwell, OK 74631-5602
Mailing Address1009 W Ferguson AveBlackwell, OK 74631-5602 · (580) 363-0052 · Fax (580) 363-0894
Phone(580) 363-0052
Fax(580) 363-0894
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJune 27, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1083610752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · PA800
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.
1009 W FERGUSON AVE, Blackwell, OK 74631
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, UnitedHealthcare.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

Phil James Green Pac 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 ID5092734772
PECOS Enrollment IDI20051114000016
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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
592 services132 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.
77 services15 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
56 services11 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
33 services23 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
22 services15 patients

Hospital Affiliations CMS Care Compare

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

Integris Health Ponca City

Acute Care Hospitals · Ponca City, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370006
Location1900 North 14th StreetPonca City, OK 74601 · Kay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74631 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 11

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers13 claims34 services$7.07 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers11 claims56 services$2.87 avg. paid by Medicare
Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier13 claims13 services$7.59 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers52 claims52 services$19.25 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers26 claims26 services$8.50 avg. paid by Medicare
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
2 suppliers100 claims100 services$111.27 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 6

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

KELSEY BURNETT PA-C
Physician Assistant
1009 W FERGUSON AVE
BLACKWELL, OK 74631
Kay County (580) 363-0052
BLACKWELL FAMILY MEDICINE LLC
Clinic/Center (Primary Care)
1009 W FERGUSON AVE
BLACKWELL, OK 74631
Kay County (580) 363-0052
SAMUEL LYLE HAGUE MD
Family Medicine
1009 W FERGUSON AVE
BLACKWELL, OK 74631
Kay County (580) 363-0052
PAUL A. BRIGGS M.D.
Family Medicine
1009 W FERGUSON AVE
BLACKWELL, OK 74631
Kay County (580) 363-0052
OKLAHOMA CITY VAMC
Clinic/Center (VA)
1009 W FERGUSON AVE, BLACKWELL FAMILY MEDICINE
BLACKWELL, OK 74631
Kay County (615) 355-3451
SAMUEL L HAGUE MD PC
Family Medicine
1009 W FERGUSON AVE
BLACKWELL, OK 74631
Kay County (580) 363-0052

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 Phil Green's NPI number?

The NPI number for Phil Green is 1083610752. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Phil Green located?

Phil Green practices at 1009 W Ferguson Ave, Blackwell, OK 74631. The listed phone number is (580) 363-0052.

What is Phil Green's specialty?

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

Is Phil Green enrolled in Medicare?

Yes. Phil 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 Phil Green accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and UnitedHealthcare list Phil 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 Phil Green affiliated with any hospitals?

According to CMS data, Phil Green is affiliated with Integris Health Ponca City.

When was this NPI record last updated?

The NPPES record for Phil Green was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 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.