CHARLES R GREEN MD
NPI 1568499267
Family Medicine in Andover, KS

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
83.42/100
CMS Quality Rating
612 N ANDOVER RD, ANDOVER, KS 67002(316) 733-6618(316) 733-5299 Get Directions Write a Review

NPPES record last updated: March 31, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1568499267
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCHARLES R GREENCredential: MD
Location Address612 N ANDOVER RDAndover, KS 67002-9778
Mailing AddressPo Box 8035Wichita, KS 67208-0035 · (316) 689-9135 · Fax (316) 689-9102
Fax(316) 733-5299
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2002
Enumeration DateJune 27, 2006
Last NPPES UpdateMarch 31, 2016
NPI 1568499267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KS · 30255
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
612 N ANDOVER RD, Andover, KS 67002

Other Identifiers 3

Medicaid100641000AKS
Medicare UPINH92615
Other103199Medicare

Accepted 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

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.

PECOS PAC ID7012803521
PECOS Enrollment IDI20040223000882
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.

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, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170122
Location929 North St Francis StreetWichita, KS 67214 · Sedgwick County
Emergency services Birthing friendly

Physician 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.

New Patient
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

83.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.21
Promoting Interoperability98
Improvement Activities40
Cost73.2

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.

Physician Assistant
612 N ANDOVER RD
ANDOVER, KS 67002
Family Medicine
612 N ANDOVER RD
ANDOVER, KS 67002
Family Medicine
612 N ANDOVER RD
ANDOVER, KS 67002
Family Medicine
612 N ANDOVER RD
ANDOVER, KS 67002
Nurse Practitioner
612 N ANDOVER RD
ANDOVER, KS 67002

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.

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.