DR. BRAD EVAN GREEN DO NPI 1356440754
Orthopaedic Surgery in Westerly, RI
About DR. BRAD EVAN GREEN DO
Brad Green is a provider established in Westerly, Rhode Island and his medical specialization is Orthopaedic Surgery. The NPI number of this provider is 1356440754 and was assigned on September 2006. The practitioner's primary taxonomy code is 207X00000X with license number 61746 (CT). The provider is registered as an individual and his NPI record was last updated 5 years ago.
| NPI | 1356440754 |
| Provider Name | DR. BRAD EVAN GREEN DO |
| Location Address | 45 WELLS ST STE 204 WESTERLY, RI 02891 |
| Location Phone | (401) 637-7929 |
| Mailing Address | 47 COLLEGE ST NEW HAVEN, CT 06510 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Enumeration Date | 09-22-2006 |
| Last Update Date | 10-15-2018 |
Brad 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), a Home Health Agency (HHA) and Power Mobility Devices..
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 88.4, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
Primary Taxonomy
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.
| Taxonomy Code | 207X00000X |
| Classification | Orthopaedic Surgery |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 61746 |
| License State | CT |
| Taxonomy Description | An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
Business Address
45 WELLS ST STE 204
WESTERLY, RI
ZIP 02891
Phone: (401) 637-7929
Fax: (860) 865-2242
Mailing Address
47 COLLEGE ST
NEW HAVEN, CT
ZIP 06510
Phone: (401) 637-7929
Fax: (860) 865-2242
Location Map
PECOS Enrollment and Medicare Participation Status
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 |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 93.2 | |
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The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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| Promoting Interoperability (PI) | 25% | 72.9 | |
|
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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| Improvement Activities | 15% | 40 | |
|
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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| Cost | 20% | N/A | |
|
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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| MIPS Final Score | - | 88.4 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 157Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
- 153X-ray of knee, 3 views (HCPCS:73562)
- 126Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
- 72X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
- 52X-ray of shoulder, minimum of 2 views (HCPCS:73030)
- 36X-ray of wrist, minimum of 3 views (HCPCS:73110)
- 29X-ray of foot, minimum of 3 views (HCPCS:73630)
- 19Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)
- 18X-ray of hand, minimum of 3 views (HCPCS:73130)
- 12Repair of knee joint (HCPCS:27447)
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | DO00392 | RI | No | |
Taxonomy Description: an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. | |||||||
| 2 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 56273 | MA | No | |
Taxonomy Description: an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. | |||||||
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. | |||||||||
| 1 | 3 | 5 | 6 | 4 | 4 | 0 | 7 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 10 | 6 | 8 | 4 | 0 | 7 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 0 + 6 + 8 + 4 + 0 + 7 + 1 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1356440754 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1205893229 | STEPHEN B GROSS MD Individual | Orthopaedic Surgery | 45 WELLS ST STE 204 WESTERLY, RI 02891 (401) 637-7929 |
| 1821577594 | MATTHEW WILLARD APRN Individual | Nurse Practitioner (Acute Care) | 45 WELLS ST STE 204 WESTERLY, RI 02891 (401) 637-7929 |
Frequently Asked Questions
What is Dr. Brad Green DO NPI number?
The NPI number assigned to this healthcare provider is 1356440754, registered as an "individual" on September 22, 2006
Where is Dr. Brad Green DO located?
The provider is located at 45 Wells St Ste 204 Westerly, Ri 02891 and the phone number is (401) 637-7929
Which is Dr. Brad Green DO specialty?
The provider's speciality is Orthopaedic Surgery
Is Dr. Brad Green DO registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What are Dr. Brad Green DO Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.
How much is a visit to Dr. Brad Green DO?
Medicare beneficiaries should expect a typical cost of $93.88 with an average copayment of $23.47 for new patient appointments. Established patients should expect a typical charge of $76.36 and an average copayment of 19.09. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Dr. Brad Green DO?
The most common procedures or services performed by this practitioner are: Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes, X-ray of knee, 3 views, Aspiration and/or injection of large joint or joint capsule, X-ray of ribs of one side of body, minimum of 2 views, X-ray of shoulder, minimum of 2 views, X-ray of wrist, minimum of 3 views, X-ray of foot, minimum of 3 views, Injections of tendon sheath, ligament, or muscle membrane, X-ray of hand, minimum of 3 views and Repair of knee joint.
How do I update my NPI information?
The NPI record of Dr. Brad Green DO was last updated on September 22, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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