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LISA JEANNETTE GREEN MD
NPI 1619298460
Obstetrics & Gynecology - Reproductive Endocrinology in Wexford, PA

Active since June 16, 2010PECOS Enrolled
6400 BROOKTREE CT STE 100&120, WEXFORD, PA 15090(412) 785-1057 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2025, May 23, 2021, May 6, 2021 and 1 more (4 updates tracked since 2017).

About Lisa Jeannette Green Md NPPES

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

LISA JEANNETTE GREEN MD (NPI 1619298460) is an individual reproductive endocrinology provider in Wexford, Pennsylvania, licensed in Pennsylvania (MD489524) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619298460
Entity TypeIndividualFemale
Primary Taxonomy207VE0102X
Provider Legal NameLISA JEANNETTE GREENCredential: MD
Location Address6400 BROOKTREE CT STE 100&120Wexford, PA 15090-9271
Mailing Address9600 Blackwell Rd Ste 500Rockville, MD 20850-3783 · (412) 785-1057
Phone(412) 785-1057
Sole ProprietorNo
Enumeration DateJune 16, 2010
Last NPPES UpdateJune 5, 20254 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1619298460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Reproductive EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code207VE0102X
Licenses✔ Licensed in PA · MD489524✔ Licensed in SC · 51441
Definition
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 51441 (SC), MD489524 (PA)
6400 BROOKTREE CT STE 100&120, Wexford, PA 15090
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Jeannette 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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prisma Health University Medical Group
414 mi
Pediatrics
4501 OLD SPARTANBURG RD STE 9
Taylors, SC 29687
  • Reassigned Medicare billing, South Carolina enrollment
  • 3,281 clinicians in this Medicare group
NPI 1801524392 (864) 292-8868

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15090 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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 Lisa Green's NPI number?

The NPI number for Lisa Green is 1619298460. It was assigned to this individual provider in the NPPES registry on June 16, 2010.

Where is Lisa Green located?

Lisa Green practices at 6400 Brooktree Ct Ste 100&120, Wexford, PA 15090. The listed phone number is (412) 785-1057.

What is Lisa Green's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

Is Lisa Green enrolled in Medicare?

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

Which organization bills Medicare for Lisa Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Green reassigns Medicare benefits to Prisma Health University Medical Group (Taylors, SC). 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 Lisa Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Green was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.