DAVID A GREENE MD
NPI 1104802594
Internal Medicine - Geriatric Medicine in Santa Rosa, CA

Q: What is David Greene's NPI number?

The NPI number for David Greene is 1104802594. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Q: What is David Greene's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Q: When was this NPI record last updated?

The NPPES record for David Greene was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 December 19, 2005PECOS EnrolledAccepts Medicare Assignment

5555 MONTGOMERY DR, SANTA ROSA, CA 95409(707) 579-6957(707) 579-6979 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 22, 2021, Mar 17, 2018, Jun 29, 2017 (3 updates tracked since 2017).

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About David A Greene Md NPPES

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

DAVID A GREENE MD (NPI 1104802594) is an individual geriatric medicine provider in Santa Rosa, California, licensed in California (C148038) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Rosa, and is a graduate of Michigan State University College Of Human Medicine (1978).

NPPES Registry Identity

NPI1104802594

Entity TypeIndividualMale

Primary Taxonomy207RG0300X

Provider Legal NameDAVID A GREENECredential: MD

Location Address5555 MONTGOMERY DRSanta Rosa, CA 95409-8846

Mailing Address3536 Mendocino Ave Ste 200Santa Rosa, CA 95403-3634 · (707) 579-6957 · Fax (707) 579-6979

Phone(707) 579-6957

Fax(707) 579-6979

Sole ProprietorNo

Medical School CMSMichigan State University College Of Human MedicineGraduated 1978

Enumeration DateDecember 19, 2005

Last NPPES UpdateJune 22, 20213 updates tracked since enumeration

NPPES CertifiedJune 22, 2021

✔ NPI 1104802594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in CA · C148038

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Also ListedInternal MedicineTaxonomy 207R00000X · License 20639 (KY)

5555 MONTGOMERY DR, Santa Rosa, CA 95409

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Secondary Practice Location 1

Location 13536 Mendocino Ave Ste 300Santa Rosa, CA 95403-3634 · Phone (707) 579-6957 · Fax (707) 579-6679

Other Identifiers 1

Medicaid64206394KY

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

David A Greene 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 ID4486796729

PECOS Enrollment IDI20210128003027

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 2

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 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.

290 services86 patients

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.

59 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95409 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

$187.01 typical visit price

range $63.04 – $187.01

Typical copayment $46.75 (range $15.76 – $46.75)

Most-billed visit code 99205

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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 9

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

ALICIA LOUISE RASMUSSEN

Occupational Therapist