JUSTIN GREEN
NPI 1114966462
Surgery in Los Alamos, NM

Q: What is Justin Green's NPI number?

The NPI number for Justin Green is 1114966462. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Q: What is Justin Green's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Green was last updated on September 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment

3917 WEST RD STE A, LOS ALAMOS, NM 87544(505) 661-8900 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Justin Green NPPES

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

JUSTIN GREEN (NPI 1114966462) is an individual surgery provider in Los Alamos, New Mexico, licensed in South Dakota (4568) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Christus St Vincent Regional Medical Center, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1994).

NPPES Registry Identity

NPI1114966462

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameJUSTIN GREEN

Location Address3917 WEST RD STE ALos Alamos, NM 87544-2292

Mailing Address3917 West RdLos Alamos, NM 87544-2275 · (505) 661-8900 · Fax (505) 661-8916

Phone(505) 661-8900

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1994

Enumeration DateJune 5, 2006

Last NPPES UpdateSeptember 27, 2024

NPPES CertifiedSeptember 27, 2024

✔ NPI 1114966462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in SD · 4568

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

3917 WEST RD STE A, Los Alamos, NM 87544

Open in Google Maps ↗

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

Justin Green 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 ID4880601137

PECOS Enrollment IDI20190124000444

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 7

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 straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

139 services35 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

64 services64 patients

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.

58 services36 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.

24 services19 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

22 services22 patients

Repair of groin hernia (5 years or older) 49505

Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Christus St Vincent Regional Medical Center

Acute Care Hospitals · Santa Fe, NM

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number320002

Location455 St Michael's DriveSanta Fe, NM 87505 · Santa Fe County

Emergency services Birthing friendly

Los Alamos Medical Center

Acute Care Hospitals · Los Alamos, NM

OwnershipProprietary

CMS Certification Number320033

Location3917 West RoadLos Alamos, NM 87544 · Los Alamos County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87544 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

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$68.00 typical visit price

range $17.00 – $135.35

Typical copayment $17.00 (range $4.25 – $33.83)

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.

Leave this field empty

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.

AUTUMN MARIE GONZALES

Physician Assistant (Medical)