DR. DALLAS GREEN DMS, PA-C
NPI 1609268788
Physician Assistant in Miami, FL

Active since February 25, 2015PECOS EnrolledAccepts Medicare Assignment
87.82/100
CMS Quality Rating
3661 S MIAMI AVE STE 806, MIAMI, FL 33133(786) 497-4000(305) 854-0111 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 2, 2024, Feb 14, 2023, Mar 1, 2017 (3 updates tracked since 2017).

About Dr. Dallas Green Dms, Pa-c NPPES

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

DR. DALLAS GREEN DMS, PA-C (NPI 1609268788) is an individual physician assistant in Miami, Florida, licensed in Florida (PA 9108459) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1609268788
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDR. DALLAS GREENCredential: DMS, PA-C
Location Address3661 S MIAMI AVE STE 806Miami, FL 33133-4223
Mailing Address6255 W Sunset Blvd Fl 21Los Angeles, CA 90028-7422 · (323) 860-5200 · Fax (323) 467-7119
Fax(305) 854-0111
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 25, 2015
Last NPPES UpdateMay 2, 20243 updates tracked since enumeration
NPPES CertifiedMay 2, 2024
NPI 1609268788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA 9108459
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3661 S MIAMI AVE STE 806, Miami, FL 33133

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

Dr. Dallas Green Dms, 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 ID3971879941
PECOS Enrollment IDI20171018001591
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 33133 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

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.

87.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.3
Promoting Interoperability100
Improvement Activities40
Cost66.48

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.

Pharmacy (Community/Retail Pharmacy)
3661 S MIAMI AVE STE 806
MIAMI, FL 33133
Pharmacist
3661 S MIAMI AVE STE 806
MIAMI, FL 33133
Internal Medicine
3661 S MIAMI AVE STE 806
MIAMI, FL 33133
Internal Medicine (Infectious Disease)
3661 S MIAMI AVE STE 806
MIAMI, FL 33133
Family Medicine
3661 S MIAMI AVE STE 806
MIAMI, FL 33133

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 Dallas Green's NPI number?

The NPI number for Dallas Green is 1609268788. It was assigned to this individual provider in the NPPES registry on February 25, 2015.

Where is Dallas Green located?

Dallas Green practices at 3661 S Miami Ave Ste 806, Miami, FL 33133. The listed phone number is (786) 497-4000.

What is Dallas Green's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Dallas Green enrolled in Medicare?

Yes. Dallas 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 Dallas Green accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, AvMed and Oscar Health Insurance and 2 other insurers list Dallas 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 Dallas Green was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.