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DOUGLAS WILLIAM GREEN M.D.
NPI 1386739605
Surgery in Santa Rosa, CA

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
121 SOTOYOME ST, SANTA ROSA, CA 95405(707) 549-3141(707) 546-7351 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Douglas William Green M.d. NPPES

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

DOUGLAS WILLIAM GREEN M.D. (NPI 1386739605) is an individual surgery provider in Santa Rosa, California, licensed in California (A90305) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (1997).

NPPES Registry Identity

NPI1386739605
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDOUGLAS WILLIAM GREENCredential: M.D.
Location Address121 SOTOYOME STSanta Rosa, CA 95405-4823
Mailing Address121 Sotoyome StSanta Rosa, CA 95405-4823 · (707) 549-3141 · Fax (707) 546-7351
Phone(707) 549-3141
Fax(707) 546-7351
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1997
Enumeration DateOctober 3, 2006
Last NPPES UpdateDecember 15, 2021
✔ NPI 1386739605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · A90305
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License A90305 (CA)
121 SOTOYOME ST, Santa Rosa, CA 95405
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Other Identifiers 1

Medicaid00A903050CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Douglas William Green M.d. 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 ID1951329861
PECOS Enrollment IDI20051109000771
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.

Medicare Billing Reassignment

Medicare enrollment records show Douglas Green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
33 mi
Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1336222397 (707) 651-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95405 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
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.

DAVID HOWARD SCHMIDT M.D.
Radiology (Diagnostic Radiology)
121 SOTOYOME ST
SANTA ROSA, CA 95405
Sonoma County (707) 546-4062
DR. SHAWN DALY MD
Radiology (Diagnostic Radiology)
121 SOTOYOME ST
SANTA ROSA, CA 95405
Sonoma County (707) 546-4062
EDWARD THEODORE EVANS M.D.
Radiology (Diagnostic Ultrasound)
121 SOTOYOME ST
SANTA ROSA, CA 95405
Sonoma County (707) 546-4062
MICHAEL DIXON SHANE M.D.
Radiology (Diagnostic Radiology)
121 SOTOYOME ST
SANTA ROSA, CA 95405
Sonoma County (707) 546-4062
BRENDAN BOTTARI M.D.
Radiology (Diagnostic Radiology)
121 SOTOYOME ST
SANTA ROSA, CA 95405
Sonoma County (707) 546-4062
JOHN JOSEPH MCGOVERN M.D.
Radiology (Diagnostic Radiology)
121 SOTOYOME ST
SANTA ROSA, CA 95405
Sonoma County (707) 546-4062
DOUGLAS A MUNRO M.D.
Radiology (Diagnostic Radiology)
121 SOTOYOME ST
SANTA ROSA, CA 95405
Sonoma County (707) 546-4062
DR. ALEXANDER PAGE M.D.
Radiology (Vascular & Interventional Radiology)
121 SOTOYOME ST
SANTA ROSA, CA 95405
Sonoma County (707) 525-4003

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 Douglas Green's NPI number?

The NPI number for Douglas Green is 1386739605. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Douglas Green located?

Douglas Green practices at 121 Sotoyome St, Santa Rosa, CA 95405. The listed phone number is (707) 549-3141.

What is Douglas Green's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Douglas Green enrolled in Medicare?

Yes. Douglas 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.

Which organization bills Medicare for Douglas Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Green reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Douglas Green was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.