MR. STEPHEN GREEN PA-C
NPI 1245774397
Physician Assistant in Prescott, AZ

Active since December 08, 2016PECOS Enrolled
1003 WILLOW CREEK RD, PRESCOTT, AZ 86301(928) 771-5100 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2018, Jul 27, 2017 (2 updates tracked since 2017).

About Mr. Stephen Green Pa-c NPPES

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

MR. STEPHEN GREEN PA-C (NPI 1245774397) is an individual physician assistant in Prescott, Arizona, licensed in Arizona (6741) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Brighton.

NPPES Registry Identity

NPI1245774397
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. STEPHEN GREENCredential: PA-C
Location Address1003 WILLOW CREEK RDPrescott, AZ 86301-1641
Mailing Address12000 Big Cottonwood Canyon, Solitude Ski ClinicBrighton, UT 84121
Sole ProprietorNo
Enumeration DateDecember 8, 2016
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1245774397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in AZ · 6741✔ Licensed in UT · 10126252-1206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1003 WILLOW CREEK RD, Prescott, AZ 86301

Secondary Practice Location 1

Location 112000 Big Cottonwood Canyon, Solitude Ski ClinicBrighton, UT 84121 · Phone (435) 776-7522

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Stephen Green Pa-c 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.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
30 services29 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
24 services20 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
15 services15 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86301 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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.

Anesthesiology
1003 WILLOW CREEK RD
PRESCOTT, AZ 86301
Nurse Practitioner
1003 WILLOW CREEK RD
PRESCOTT, AZ 86301
Internal Medicine (Critical Care Medicine)
1003 WILLOW CREEK RD
PRESCOTT, AZ 86301
Emergency Medicine (Emergency Medical Services)
1003 WILLOW CREEK RD
PRESCOTT, AZ 86301
Internal Medicine (Cardiovascular Disease)
1003 WILLOW CREEK RD
PRESCOTT, AZ 86301
Hospitalist
1003 WILLOW CREEK RD
PRESCOTT, AZ 86301
Dietitian, Registered
1003 WILLOW CREEK RD
PRESCOTT, AZ 86301
Hospitalist
1003 WILLOW CREEK RD
PRESCOTT, AZ 86301

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 Stephen Green's NPI number?

The NPI number for Stephen Green is 1245774397. It was assigned to this individual provider in the NPPES registry on December 8, 2016.

Where is Stephen Green located?

Stephen Green practices at 1003 Willow Creek Rd, Prescott, AZ 86301. The listed phone number is (928) 771-5100.

What is Stephen Green's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Stephen Green enrolled in Medicare?

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

What insurance does Stephen Green accept?

Health plans from Select Health list Stephen 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.

When was this NPI record last updated?

The NPPES record for Stephen Green was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.