ALEXANDER GREEN DPM NPI 1336638238

Podiatrist in Oak Ridge, TN

Individual Male Years of Experience 5 Podiatrist PECOS Enrolled Accepts Medicare Approved Payment CLIA Number 44D2045040 CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP)

About ALEXANDER GREEN DPM

Alexander Green is a provider established in Oak Ridge, Tennessee and his medical specialization is Podiatrist with more than 5 years of experience. The NPI number of Alexander Green is 1336638238 and was assigned on May 2018. The practitioner's primary taxonomy code is 213E00000X with license number DPM897 (TN). The provider is registered as an individual and his NPI record was last updated March 2022.

A podiatrist like Alexander Green Dpm provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

The CLIA number of Alexander Green Dpm is 44D2045040 registered as a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued to Alexander Green Dpm in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

NPI

1336638238

Provider Name ALEXANDER GREEN DPM
Provider Location Address170 W TENNESSEE AVE OAK RIDGE, TN 37830
Provider Mailing Address170 W TENNESSEE AVE OAK RIDGE, TN 37830
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2018
Is Sole Proprietor?Yes
Enumeration Date05-07-2018
Last Update Date03-10-2022



Alexander Green is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

Alexander Green is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Methodist Medical Center Of Oak Ridge.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.08 for a new patient copayment and $17.19 for an established patient copayment.



Primary Taxonomy

Taxonomy Code213E00000X
ClassificationPodiatrist
TypePodiatric Medicine & Surgery Service Providers
License No.DPM897
License StateTN
Taxonomy DescriptionA podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Business Address

ALEXANDER GREEN DPM
170 W TENNESSEE AVE
OAK RIDGE, TN
ZIP 37830
Phone: (865) 482-1788

Get Directions


Mailing Address

ALEXANDER GREEN DPM
170 W TENNESSEE AVE
OAK RIDGE, TN
ZIP 37830
Phone: (865) 482-1788
Fax: (865) 482-1789


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID4284068263
PECOS Enrollment IDI20210628002473
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesNo

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 37830 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$54.58 $167.19 $84.32
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.64 $41.79 $21.08
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$16.86 $136.82 $68.78
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.21 $34.2 $17.19

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Alexander Green is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
METHODIST MEDICAL CENTER OF OAK RIDGE990 OAK RIDGE TURNPIKE BOX 529
OAK RIDGE, TN 37830
(865) 835-1000Acute Care Hospitals440034

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1336638238 is:

CLIA Number44D2045040
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate for Provider-Performed Microscopy Procedures (PPMP)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
FG0373035OTHER (01)TNDEA
Q068463MEDICAID (05)TN
DPM897OTHER (01)TNTN PODIATRY BOARD
6277909OTHER (01)TNBCBST

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336638238
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23661231626
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 2 + 3 + 1 + 6 + 2 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1336638238 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1952381832 HELEN VODOPICK GOSWITZ MD
Individual
Internal Medicine170 W TENNESSEE AVE
OAK RIDGE, TN 37830
(865) 483-7411
1922095454DR. BRIAN NIEL CHRISTIANSEN DPM
Individual
Podiatrist (Foot Surgery)170 W TENNESSEE AVE
OAK RIDGE, TN 37830
(865) 482-1788
1750702254ARCHES FOOT CARE LLC
Organization
Podiatrist (Foot Surgery)170 W TENNESSEE AVE
OAK RIDGE, TN 37830
(865) 482-1788
1255981940 CHARLES MATTHEW STREET PA
Individual
Physician Assistant (Medical)170 W TENNESSEE AVE
OAK RIDGE, TN 37830
(865) 482-1788

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Alexander Green Dpm is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.