Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CEDRIC GREEN MD
NPI 1629606629
Family Medicine in Orlando, FL

Q: What is Cedric Green's NPI number?

The NPI number for Cedric Green is 1629606629. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Q: What is Cedric Green's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Cedric Green was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.

Active since March 27, 2020PECOS Enrolled

8793 COMMODITY CIR, ORLANDO, FL 32819(407) 351-8200(407) 351-7696 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2026, Sep 2, 2020, Jun 8, 2020 and 1 more (4 updates tracked since 2020).

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About Cedric Green Md NPPES

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

CEDRIC GREEN MD (NPI 1629606629) is an individual family medicine provider in Orlando, Florida, licensed in Florida (ME157557) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Jacksonville, and is a graduate of Morehouse School Of Medicine (2020).

NPPES Registry Identity

NPI1629606629

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCEDRIC GREENCredential: MD

Location Address8793 COMMODITY CIROrlando, FL 32819-9005

Mailing Address8793 Commodity CirOrlando, FL 32819-9005 · (407) 351-8200 · Fax (407) 351-7696

Phone(407) 351-8200

Fax(407) 351-7696

Sole ProprietorNo

Medical School CMSMorehouse School Of MedicineGraduated 2020

Enumeration DateMarch 27, 2020

Last NPPES UpdateJuly 31, 20264 updates tracked since enumeration

NPPES CertifiedJuly 31, 2026

✔ NPI 1629606629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME157557

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.

8793 COMMODITY CIR, Orlando, FL 32819

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Secondary Practice Location 1

Location 14500 San Pablo Rd SJacksonville, FL 32224-1865 · Phone (904) 953-6722

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Cedric 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 ID9931521366

PECOS Enrollment IDI20230803000310

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 32819 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CALVIN L GIBSON MD

Family Medicine