KARL A GREENE MD
NPI 1376535492
Neurological Surgery in Pleasant Prairie, WI

Active since August 16, 2005PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
9555 76TH ST, PLEASANT PRAIRIE, WI 53158(262) 577-8000(262) 577-8869 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 27, 2024, Dec 20, 2021, Mar 23, 2021 (3 updates tracked since 2021).

About Karl A Greene Md NPPES

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

KARL A GREENE MD (NPI 1376535492) is an individual neurological surgery provider in Pleasant Prairie, Wisconsin, licensed in Wisconsin (43655) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (1989).

NPPES Registry Identity

NPI1376535492
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameKARL A GREENECredential: MD
Location Address9555 76TH STPleasant Prairie, WI 53158-1984
Mailing Address9555 76th StPleasant Prairie, WI 53158-1984 · (262) 577-8000 · Fax (262) 577-8869
Fax(262) 577-8869
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 1989
Enumeration DateAugust 16, 2005
Last NPPES UpdateJune 27, 20243 updates tracked since enumeration
NPPES CertifiedJune 27, 2024
NPI 1376535492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in WI · 43655
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Also ListedSurgeryTaxonomy 208600000X · License 43655 (WI)
9555 76TH ST, Pleasant Prairie, WI 53158

Other Identifiers 2

Medicaid34125200WI
Medicaid1376535492WI

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 and accepts Medicare assignment

Karl A Greene 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 ID3779569942
PECOS Enrollment IDI20040628001077
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53158 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

76.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.56
Promoting Interoperability99
Improvement Activities40
Cost44.56

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.

General Acute Care Hospital
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Family Medicine
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Dietitian, Registered
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Radiology (Vascular & Interventional Radiology)
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Internal Medicine
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Dietitian, Registered
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Hospitalist
9555 76TH ST
PLEASANT PRAIRIE, WI 53158
Dietitian, Registered
9555 76TH ST
PLEASANT PRAIRIE, WI 53158

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 Karl Greene's NPI number?

The NPI number for Karl Greene is 1376535492. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Karl Greene located?

Karl Greene practices at 9555 76th St, Pleasant Prairie, WI 53158. The listed phone number is (262) 577-8000.

What is Karl Greene's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Karl Greene enrolled in Medicare?

Yes. Karl Greene 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.

What insurance does Karl Greene accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Medica and Network Health list Karl Greene 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 Karl Greene was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.