KENNETH E GREEN MD
NPI 1083623367
Family Medicine in Leitchfield, KY

Active since August 05, 2006PECOS Enrolled
1895 ELIZABETHTOWN RD, LEITCHFIELD, KY 42754(270) 230-0182(270) 230-0014 Get Directions Write a Review

NPPES record last updated: December 10, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth E Green Md NPPES

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

KENNETH E GREEN MD (NPI 1083623367) is an individual family medicine provider in Leitchfield, Kentucky, licensed in Kentucky (23924) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083623367
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKENNETH E GREENCredential: MD
Location Address1895 ELIZABETHTOWN RDLeitchfield, KY 42754-9138
Mailing Address908 Wallace AveLeitchfield, KY 42754-1479 · (270) 259-1626 · Fax (270) 259-9582
Fax(270) 230-0014
Sole ProprietorNo
Enumeration DateAugust 5, 2006
Last NPPES UpdateDecember 10, 2018
NPI 1083623367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KY · 23924
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.
1895 ELIZABETHTOWN RD, Leitchfield, KY 42754

Other Identifiers 3

Other2434453000KY · Passport Advantage
Other1064549KY · Passport Health Plan
Medicaid64239247KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kenneth E Green Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42754 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

Nurse Practitioner (Family)
1895 ELIZABETHTOWN RD
LEITCHFIELD, KY 42754
Nurse Practitioner (Family)
1895 ELIZABETHTOWN RD
LEITCHFIELD, KY 42754
Nurse Practitioner (Family)
1895 ELIZABETHTOWN RD
LEITCHFIELD, KY 42754
Nurse Practitioner (Family)
1895 ELIZABETHTOWN RD
LEITCHFIELD, KY 42754
Nurse Practitioner (Family)
1895 ELIZABETHTOWN RD
LEITCHFIELD, KY 42754
Nurse Practitioner (Family)
1895 ELIZABETHTOWN RD
LEITCHFIELD, KY 42754

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 Kenneth Green's NPI number?

The NPI number for Kenneth Green is 1083623367. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Kenneth Green located?

Kenneth Green practices at 1895 Elizabethtown Rd, Leitchfield, KY 42754. The listed phone number is (270) 230-0182.

What is Kenneth Green's specialty?

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

Is Kenneth Green enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kenneth Green was last updated on December 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.