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TIMOTHY GREEN M.D.
NPI 1457739039
Internal Medicine in Nowata, OK

Active since May 14, 2015PECOS EnrolledAccepts Medicare Assignment
78.75/100
CMS Quality Rating
1020 LENAPE DR, NOWATA, OK 74048(918) 273-0192(918) 273-0194 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2018, Aug 10, 2016 (2 updates tracked since 2016).

About Timothy Green M.d. NPPES

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

TIMOTHY GREEN M.D. (NPI 1457739039) is an individual internal medicine provider in Nowata, Oklahoma, licensed in Oklahoma (31695) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Ascension St John Jane Phillips, and maintains a secondary practice location in Tulsa.

NPPES Registry Identity

NPI1457739039
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTIMOTHY GREENCredential: M.D.
Location Address1020 LENAPE DRNowata, OK 74048
Mailing Address1020 Lenape DrNowata, OK 74048-4403 · (918) 273-0192 · Fax (918) 273-0194
Phone(918) 273-0192
Fax(918) 273-0194
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 14, 2015
Last NPPES UpdateSeptember 18, 20182 updates tracked since enumeration
✔ NPI 1457739039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OK · 31695
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1020 LENAPE DR, Nowata, OK 74048
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Secondary Practice Location 1

Location 17501 S Riverside PkwyTulsa, OK 74136 · Phone (918) 710-4200 · Fax (918) 293-3155

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

Timothy 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 ID9931497914
PECOS Enrollment IDI20181206002915
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
895 services251 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
78 services78 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St John Jane Phillips

Acute Care Hospitals · Bartlesville, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370018
Location3500 East Frank Phillips BoulevardBartlesville, OK 74006 · Washington County
Emergency services Birthing friendly

Northeastern Health System

Acute Care Hospitals · Tahlequah, OK
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370089
Location1400 East Downing StreetTahlequah, OK 74465 · Cherokee County
Emergency services Birthing friendly

Cherokee Nation W W Hastings Indian Hospital

Acute Care Hospitals · Tahlequah, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370171
Location100 S Bliss AvenueTahlequah, OK 74464 · Cherokee County
Emergency services Birthing friendly

Claremore Indian Hospital

Acute Care Hospitals · Claremore, OK
OwnershipGovernment - Federal
CMS Certification Number370173
Location101 South Moore AveClaremore, OK 74017 · Rogers County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74048 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
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.

78.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.59
Promoting Interoperability98
Improvement Activities40
Cost65.11

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers16 claims38 services$22.94 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers22 claims45 services$2.77 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers18 claims18 services$44.93 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers18 claims18 services$194.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

KAYLAN NICOLE REEDER R.N
Registered Nurse (Community Health)
1020 LENAPE DR
NOWATA, OK 74048
Nowata County (918) 273-7558
MATT STEELE
Physical Therapy Assistant
1020 LENAPE DR
NOWATA, OK 74048
Nowata County (918) 273-7500
BAYLEE MOLES
Student in an Organized Health Care Education/Training Program
1020 LENAPE DR
NOWATA, OK 74048
Nowata County (918) 273-7500
MATHEW BURNS PHARM D
Pharmacist
1020 LENAPE DR
NOWATA, OK 74048
Nowata County (918) 273-7579
ALEXANDRIA MICAE WOOD RD/LD
Dietitian, Registered
1020 LENAPE DR
NOWATA, OK 74048
Nowata County (918) 273-7500
JENNIFER YOUNG LPN
Licensed Practical Nurse
1020 LENAPE DR
NOWATA, OK 74048
Nowata County (918) 316-0365
TASHA SUE LUNSFORD APRN, CNP
Nurse Practitioner (Family)
1020 LENAPE DR, NONE
NOWATA, OK 74048
Nowata County (918) 273-7500
MRS. CHYANNE MEFFORD RN
Registered Nurse (Occupational Health)
1020 LENAPE DR
NOWATA, OK 74048
Nowata County (918) 273-7500

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 Timothy Green's NPI number?

The NPI number for Timothy Green is 1457739039. It was assigned to this individual provider in the NPPES registry on May 14, 2015.

Where is Timothy Green located?

Timothy Green practices at 1020 Lenape Dr, Nowata, OK 74048. The listed phone number is (918) 273-0192.

What is Timothy Green's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Timothy Green enrolled in Medicare?

Yes. Timothy 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.

Is Timothy Green affiliated with any hospitals?

According to CMS data, Timothy Green is affiliated with Ascension St John Jane Phillips, Northeastern Health System, Cherokee Nation W W Hastings Indian Hospital and Claremore Indian Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Green was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.