DR. GREENE BERRY COLVIN IV MD
NPI 1619988243
Otolaryngology in Olive Branch, MS
About Dr. Greene Berry Colvin Iv Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GREENE BERRY COLVIN IV MD (NPI 1619988243) is an individual otolaryngology provider in Olive Branch, Mississippi, licensed in Mississippi (15739) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Greene Berry Colvin Iv Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Greene Colvin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Olive Branch, MS 38654
- Reassigned Medicare billing, Mississippi enrollment
- 2 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.
Areas of Expertise CMS Part B claims 12
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38654 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.
Reported Quality Measures
Other Providers at the Same Location NPPES
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 Greene Colvin's NPI number?
The NPI number for Greene Colvin is 1619988243. It was assigned to this individual provider in the NPPES registry on August 10, 2006.
Where is Greene Colvin located?
Greene Colvin practices at 7164 Hacks Cross Rd Ste 106, Olive Branch, MS 38654. The listed phone number is (662) 895-6455.
What is Greene Colvin's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Greene Colvin enrolled in Medicare?
Yes. Greene Colvin is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Greene Colvin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Greene Colvin reassigns Medicare benefits to Desoto Ear, Nose & throat (Olive Branch, MS). 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 Greene Colvin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Greene Colvin accept?
Health plans from Oscar Health Plan, Inc. list Greene Colvin 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 Greene Colvin was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Greene Berry Colvin IV, MD · NPI 1619988243
Otolaryngology physician in Olive Branch, Mississippi. Individual provider, active in the CMS NPPES registry since August 10, 2006.
## Identity
- **NPI:** 1619988243 (Entity type: Individual)
- **Enumerated:** August 10, 2006
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** 15739 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 7164 HACKS CROSS RD STE 106, Olive Branch, MS 38654-3919
- **Phone:** (662) 895-6455 · **Fax:** (662) 895-6460
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Desoto Ear, Nose & throat (NPI 1477644045, Olive Branch, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 8, 2022
- **Other identifiers:** Medicaid 0119469 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1619988243) · Data from the CMS NPPES public registry.