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DANIEL ROBERT GREEN
NPI 1700288966
Physician Assistant in Fayetteville, NY

Active since September 18, 2014PECOS EnrolledAccepts Medicare Assignment
82.47/100
CMS Quality Rating
212 HIGHBRIDGE ST, SUITE A, FAYETTEVILLE, NY 13066(315) 637-9116 Get Directions Write a Review

NPPES record last updated: September 18, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Daniel Robert Green NPPES

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

DANIEL ROBERT GREEN (NPI 1700288966) is an individual physician assistant in Fayetteville, New York and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS, is affiliated with Guthrie Cortland Regional Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1700288966
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDANIEL ROBERT GREEN
Location Address212 HIGHBRIDGE ST, SUITE AFayetteville, NY 13066-1981
Mailing Address212 Highbridge St, Suite AFayetteville, NY 13066-1981
Phone(315) 637-9116
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 18, 2014
✔ NPI 1700288966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
212 HIGHBRIDGE ST, Fayetteville, NY 13066
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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

Daniel Robert Green 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 ID6305068818
PECOS Enrollment IDI20141118002363
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.

Areas of Expertise CMS Part B claims 8

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
115 services40 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
73 services54 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
71 services65 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
57 services54 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
42 services35 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
30 services30 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Guthrie Cortland Regional Medical Center

Acute Care Hospitals · Cortland, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330175
Location134 Homer AvenueCortland, NY 13045 · Cortland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13066 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

82.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.51
Promoting Interoperability91
Improvement Activities40
Cost65.56

Other Providers at the Same Location NPPES 4

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

JOHN M. CALLAHAN M.D. P.C.
Internal Medicine
212 HIGHBRIDGE ST, SUITE C
FAYETTEVILLE, NY 13066
Onondaga County (315) 637-0477
ERROL S MCKENZIE MD PLLC
Family Medicine
212 HIGHBRIDGE ST, SUITE C
FAYETTEVILLE, NY 13066
Onondaga County (315) 637-0477
MICHAEL NATHEN WARREN MPAS, PA-C
Physician Assistant
212 HIGHBRIDGE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 637-9116
WILLIAM G. PATRICK, M.D., P.C.
Specialist
212 HIGHBRIDGE ST, SUITE A
FAYETTEVILLE, NY 13066
Onondaga County (315) 637-9116

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 Daniel Green's NPI number?

The NPI number for Daniel Green is 1700288966. It was assigned to this individual provider in the NPPES registry on September 18, 2014.

Where is Daniel Green located?

Daniel Green practices at 212 Highbridge St Suite A, Fayetteville, NY 13066. The listed phone number is (315) 637-9116.

What is Daniel Green's specialty?

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

Is Daniel Green enrolled in Medicare?

Yes. Daniel 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.

Is Daniel Green affiliated with any hospitals?

According to CMS data, Daniel Green is affiliated with Guthrie Cortland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Daniel Green was last updated on September 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.