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KENNETH E GREEN MD
NPI 1508802950
Surgery in La Grange, KY

Active since June 22, 2006PECOS Enrolled
1025 NEW MOODY LN, LA GRANGE, KY 40031(502) 222-0598(502) 222-7446 Get Directions Write a Review

NPPES record last updated: May 2, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth E Green Md NPPES

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

KENNETH E GREEN MD (NPI 1508802950) is an individual surgery provider in La Grange, Kentucky, licensed in Kentucky (24940) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508802950
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameKENNETH E GREENCredential: MD
Location Address1025 NEW MOODY LNLa Grange, KY 40031-9154
Mailing Address2700 Stanley Gault Pkwy Ste 129Louisville, KY 40223-5176 · (502) 489-6613 · Fax (502) 489-5751
Phone(502) 222-0598
Fax(502) 222-7446
Sole ProprietorNo
Enumeration DateJune 22, 2006
Last NPPES UpdateMay 2, 2019
✔ NPI 1508802950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in KY · 24940
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.
1025 NEW MOODY LN, La Grange, KY 40031
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Other Identifiers 1

Medicaid6424940200KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth E Green Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 40031 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

MICHAEL J. PHYTHIAN CRNA
Nurse Anesthetist, Certified Registered
1025 NEW MOODY LN
LA GRANGE, KY 40031
Oldham County (502) 222-3886
CATHY STOLWORTHY CRNA
Nurse Anesthetist, Certified Registered
1025 NEW MOODY LN
LAGRANGE, KY 40031
Oldham County (502) 222-3886
MR. CRAIG WOODSON SPEARS
Pharmacist
1025 NEW MOODY LN
LAGRANGE, KY 40031
Oldham County (502) 222-3352
BAPTIST HEALTHCARE AFFILIATES
Pharmacy
1025 NEW MOODY LN
LAGRANGE, KY 40031
Oldham County (502) 222-3362
WILLIAM KING
Internal Medicine
1025 NEW MOODY LN
LA GRANGE, KY 40031
Oldham County (502) 222-8627
DR. BROOKE KAPFHAMMER PHARMD
Pharmacist
1025 NEW MOODY LN
LA GRANGE, KY 40031
Oldham County (502) 222-3352
DR. TIMOTHY G PRICE MD
Emergency Medicine
1025 NEW MOODY LN
LA GRANGE, KY 40031
Oldham County (502) 222-3347
DORIS GILFETHER RPH
Pharmacist
1025 NEW MOODY LN
LA GRANGE, KY 40031
Oldham County (502) 222-3352

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 Kenneth Green's NPI number?

The NPI number for Kenneth Green is 1508802950. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Kenneth Green located?

Kenneth Green practices at 1025 New Moody Ln, La Grange, KY 40031. The listed phone number is (502) 222-0598.

What is Kenneth Green's specialty?

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

Is Kenneth Green enrolled in Medicare?

Yes. Kenneth Green is registered in the Medicare PECOS enrollment system.

What insurance does Kenneth Green accept?

Health plans from CareSource list Kenneth Green 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 Kenneth Green was last updated on May 2, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.