DR. AMANDA RUTH GORDEN GREEN D.O.
NPI 1740514306
Family Medicine in Ochelata, OK

Q: What is Amanda Gorden Green's NPI number?

The NPI number for Amanda Gorden Green is 1740514306. It was assigned to this individual provider in the NPPES registry on September 29, 2009.

Q: What is Amanda Gorden Green's specialty?

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

Active since September 29, 2009PECOS Enrolled

78.75/100

CMS Quality Rating

395200 W 2900 RD, OCHELATA, OK 74051(918) 535-6000(918) 535-2694 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 4, 2022, Feb 13, 2019 (2 updates tracked since 2019).

On this page

About Dr. Amanda Ruth Gorden Green D.o. NPPES

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

DR. AMANDA RUTH GORDEN GREEN D.O. (NPI 1740514306) is an individual family medicine provider in Ochelata, Oklahoma, licensed in Oklahoma (4906) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740514306

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. AMANDA RUTH GORDEN GREENCredential: D.O.

Location Address395200 W 2900 RDOchelata, OK 74051-2463

Mailing Address395200 W 2900 RdOchelata, OK 74051-2463 · (918) 535-6000 · Fax (918) 535-2694

Phone(918) 535-6000

Fax(918) 535-2694

Sole ProprietorNo

Enumeration DateSeptember 29, 2009

Last NPPES UpdateMay 4, 20222 updates tracked since enumeration

NPPES CertifiedMay 4, 2022

✔ NPI 1740514306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OK · 4906

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.

395200 W 2900 RD, Ochelata, OK 74051

Open in Google Maps ↗

Other Identifiers 1

Medicaid200348650 AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Mending Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amanda Ruth Gorden Green D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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.

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.

20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74051 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

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.

78.75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

61.59

Promoting Interoperability

Improvement Activities

Cost

65.11

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500

DME-Orthotic Devices · category DF000N

1 supplier14 claims28 services$61.09 avg. paid by Medicare

For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512

DME-Orthotic Devices · category DF000N

1 supplier14 claims84 services$24.91 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers24 claims24 services$44.68 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

4 suppliers26 claims26 services$194.87 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

CHEROKEE NATION

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy