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MARY ETOSHA GREEN MD
NPI 1154827350
Pathology - Anatomic Pathology & Clinical Pathology in Manchester, CT

Active since April 05, 2018PECOS EnrolledAccepts Medicare Assignment
84.55/100
CMS Quality Rating
71 HAYNES ST, MANCHESTER, CT 06040(860) 646-1222(866) 623-8110 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Etosha Green Md NPPES

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

MARY ETOSHA GREEN MD (NPI 1154827350) is an individual anatomic pathology & clinical pathology provider in Manchester, Connecticut, licensed in Connecticut (74633) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Health - Harrington Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1154827350
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameMARY ETOSHA GREENCredential: MD
Location Address71 HAYNES STManchester, CT 06040-4131
Mailing AddressPo Box 844770Boston, MA 02284-4770
Phone(860) 646-1222
Fax(866) 623-8110
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 5, 2018
Last NPPES UpdateAugust 14, 2023
NPPES CertifiedAugust 14, 2023
✔ NPI 1154827350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in CT · 74633
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
71 HAYNES ST, Manchester, CT 06040
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

Mary Etosha Green 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 ID9739439498
PECOS Enrollment IDI20230801001748, I20230801002688
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 19

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
359 services156 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
353 services148 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
173 services47 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
123 services60 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
119 services46 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
99 services87 patients

Hospital Affiliations CMS Care Compare 2

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

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220019
Location100 South StreetSouthbridge, MA 01550 · Worcester County
Emergency services

Holyoke Medical Center

Acute Care Hospitals · Holyoke, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220024
Location575 Beech StreetHolyoke, MA 01040 · Hampden County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06040 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.48
Improvement Activities40

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.

DR. FRANKLIN GEORGE GILLIG M.D.
Emergency Medicine
71 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-1222
MRS. CORY BERNARD LCSW
Social Worker (Clinical)
71 HAYNES ST, BEHAVIORAL HEALTH UNIT
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-1222
DR. DINESH S. SHAH M.D.
Emergency Medicine
71 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-1222
DANIELLE KIREI PA
Physician Assistant
71 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-1222
RAJITHA REDDY
Student in an Organized Health Care Education/Training Program
71 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-4679
DR. ALLANA R LEE D.O.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
71 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-1222
ANDREA LYNCH PA-C
Physician Assistant (Surgical)
71 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 533-6595
JAMSHID A MARVASTI, M.D. P.C.
Psychiatry & Neurology (Psychiatry)
71 HAYNES ST, MMH
MANCHESTER, CT 06040
Capitol Planning Region (860) 643-1166

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 Mary Green's NPI number?

The NPI number for Mary Green is 1154827350. It was assigned to this individual provider in the NPPES registry on April 5, 2018.

Where is Mary Green located?

Mary Green practices at 71 Haynes St, Manchester, CT 06040. The listed phone number is (860) 646-1222.

What is Mary Green's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Mary Green enrolled in Medicare?

Yes. Mary 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.

Is Mary Green affiliated with any hospitals?

According to CMS data, Mary Green is affiliated with Umass Memorial Health - Harrington Hospital and Holyoke Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Green was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.