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LARA E GREEN PA-C
NPI 1558339184
Physician Assistant - Surgical in Norman, OK

Active since March 09, 2006PECOS EnrolledAccepts Medicare Assignment
91.18/100
CMS Quality Rating
2821 36TH AVE NW STE 105, NORMAN, OK 73072(405) 515-2049(405) 307-5631 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 28, 2021, Feb 22, 2016 (2 updates tracked since 2016).

About Lara E Green Pa-c NPPES

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

LARA E GREEN PA-C (NPI 1558339184) is an individual surgical provider in Norman, Oklahoma, licensed in Oklahoma (1235) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Norman Regional, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1558339184
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameLARA E GREENCredential: PA-C
Location Address2821 36TH AVE NW STE 105Norman, OK 73072-2471
Mailing AddressPo Box 1330Norman, OK 73070-1330 · (405) 307-6668 · Fax (405) 701-6170
Phone(405) 515-2049
Fax(405) 307-5631
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMarch 9, 2006
Last NPPES UpdateJuly 28, 20212 updates tracked since enumeration
NPPES CertifiedJuly 28, 2021
✔ NPI 1558339184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in OK · 1235
2821 36TH AVE NW STE 105, Norman, OK 73072
Open in Google Maps ↗

Other Identifiers 1

Medicaid200063470AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health.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

Lara E Green Pa-c 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 ID8729022868
PECOS Enrollment IDI20050818000903
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

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.
27 services17 patients

Hospital Affiliations CMS Care Compare

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

Norman Regional

Acute Care Hospitals · Norman, OK
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370008
Location3300 Healthplex PkwyNorman, OK 73072 · Cleveland County
Emergency services Birthing friendly

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.

91.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.27
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LANA GAIL NELSON D.O.
Surgery
2821 36TH AVE NW STE 105
NORMAN, OK 73072
Cleveland County (405) 515-2049

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 Lara Green's NPI number?

The NPI number for Lara Green is 1558339184. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Lara Green located?

Lara Green practices at 2821 36th Ave NW Ste 105, Norman, OK 73072. The listed phone number is (405) 515-2049.

What is Lara Green's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Lara Green enrolled in Medicare?

Yes. Lara 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.

What insurance does Lara Green accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Lara 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.

Is Lara Green affiliated with any hospitals?

According to CMS data, Lara Green is affiliated with Norman Regional.

When was this NPI record last updated?

The NPPES record for Lara Green was last updated on July 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.