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

Q: 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.

Q: What is Douglas Green's specialty?

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

Q: 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.

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: August 02, 2026.

On this page

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, and ordering and referring status from the CMS PECOS system.

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.

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)