CHARLES R GREEN MD
NPI 1568499267
Family Medicine in Andover, KS
About Charles R Green Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLES R GREEN MD (NPI 1568499267) is an individual family medicine provider in Andover, Kansas, licensed in Kansas (30255) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Via Christi Hospitals Wichita, Inc., and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2002).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
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
Charles R Green Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Charles Green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wichita, KS 67208
- Reassigned Medicare billing, Kansas enrollment
- 210 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension Via Christi Hospitals Wichita, Inc.
Acute Care Hospitals · Wichita, KSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 67002 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Charles Green's NPI number?
The NPI number for Charles Green is 1568499267. It was assigned to this individual provider in the NPPES registry on June 27, 2006.
Where is Charles Green located?
Charles Green practices at 612 N Andover Rd, Andover, KS 67002. The listed phone number is (316) 733-6618.
What is Charles Green's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Charles Green enrolled in Medicare?
Yes. Charles 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 Charles Green's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charles Green reassigns Medicare benefits to Ascension Medical Group Via Christi, PA (Wichita, KS). 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 Charles Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charles Green accept?
Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Charles 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 Charles Green affiliated with any hospitals?
According to CMS data, Charles Green is affiliated with Ascension Via Christi Hospitals Wichita, Inc..
When was this NPI record last updated?
The NPPES record for Charles Green was last updated on March 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Charles R Green, MD · NPI 1568499267
Family Medicine physician in Andover, Kansas. Individual provider, active in the CMS NPPES registry since June 27, 2006.
## Identity
- **NPI:** 1568499267 (Entity type: Individual)
- **Enumerated:** June 27, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 30255 (Kansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 612 N ANDOVER RD, Andover, KS 67002-9778
- **Phone:** (316) 733-6618 · **Fax:** (316) 733-5299
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ascension Medical Group Via Christi, PA (NPI 1013374990, Wichita, KS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Kansas School Of Med, class of 2002
## Record status
- **NPPES last updated:** March 31, 2016
- **Other identifiers:** Medicaid 100641000A (KS); Medicare UPIN H92615; Other 103199
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Source: [NPI Profile](https://npiprofile.com/npi/1568499267) · Data from the CMS NPPES public registry.