MARY KELLY GREEN MD PLLC
NPI 1689947509
Ophthalmology in Marble Falls, TX
About Mary Kelly Green Md Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY KELLY GREEN MD PLLC (NPI 1689947509) is a healthcare organization registered as an ophthalmology in Marble Falls, Texas and active in the NPI registry since February 2012. The organization lists Mary K. Green, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Kelly Green Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Mary Kelly Green MD PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Fort Cavazos, TX 76544
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mary Kelly Green MD PLLC's NPI number?
The NPI number for Mary Kelly Green MD PLLC is 1689947509. It was assigned to this organization in the NPPES registry on February 23, 2012.
Where is Mary Kelly Green MD PLLC located?
Mary Kelly Green MD PLLC is located at 204 Gateway N Suite A, Marble Falls, TX 78654. The listed phone number is (830) 698-5868.
What is Mary Kelly Green MD PLLC's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Mary Kelly Green MD PLLC enrolled in Medicare?
Yes. Mary Kelly Green MD PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mary Kelly Green MD PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Mary Kelly Green MD PLLC. A 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 the clinician's services. The largest specialties are Ophthalmology (4) and Optometry (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mary Kelly Green MD PLLC was last updated on February 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Mary Kelly Green Md Pllc · NPI 1689947509
Ophthalmology organization in Marble Falls, Texas. Organization record, active in the CMS NPPES registry since February 23, 2012.
## Identity
- **NPI:** 1689947509 (Entity type: Organization)
- **Enumerated:** February 23, 2012
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Mary Green, OWNER
## Practice location
- **Address:** 204 GATEWAY N, SUITE A, Marble Falls, TX 78654-6361
- **Phone:** (830) 698-5868 · **Fax:** (830) 798-8017
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (4), Optometry (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 24, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1689947509) · Data from the CMS NPPES public registry.