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CHARLES GREEN
NPI 1730907437
Physician Assistant in Indianapolis, IN

Active since October 01, 2024PECOS Enrolled
931 E 86TH ST STE 104, INDIANAPOLIS, IN 46240(317) 257-1484(317) 257-1488 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2026, Oct 1, 2024 (2 updates tracked since 2024).

About Charles Green NPPES

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

CHARLES GREEN (NPI 1730907437) is an individual physician assistant in Indianapolis, Indiana, licensed in Indiana (10005186A) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (2025).

NPPES Registry Identity

NPI1730907437
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCHARLES GREEN
Location Address931 E 86TH ST STE 104Indianapolis, IN 46240-1852
Mailing Address931 E 86th St Ste 104Indianapolis, IN 46240-1852 · (317) 257-1484 · Fax (317) 257-1488
Phone(317) 257-1484
Fax(317) 257-1488
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2025
Enumeration DateOctober 1, 2024
Last NPPES UpdateMarch 11, 20262 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
✔ NPI 1730907437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IN · 10005186A
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.
931 E 86TH ST STE 104, Indianapolis, IN 46240
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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 (PECOS)

Charles Green is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335628346
PECOS Enrollment IDI20260210002180
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 46240 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 3

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

ABIGAIL ELIZABETH CASMERE
Physician Assistant
931 E 86TH ST STE 104
INDIANAPOLIS, IN 46240
Marion County (317) 257-1484
GABRIELLE SHEAANN WEAVER DMS, PA-C
Physician Assistant
931 E 86TH ST STE 104
INDIANAPOLIS, IN 46240
Marion County (317) 257-1484
MISS ABIGAIL MAIN PA
Dermatology
931 E 86TH ST STE 104
INDIANAPOLIS, IN 46240
Marion County (317) 257-1484

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 Charles Green's NPI number?

The NPI number for Charles Green is 1730907437. It was assigned to this individual provider in the NPPES registry on October 1, 2024.

Where is Charles Green located?

Charles Green practices at 931 E 86th St Ste 104, Indianapolis, IN 46240. The listed phone number is (317) 257-1484.

What is Charles Green's specialty?

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

Is Charles Green enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Charles Green was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.