GARY RANDALL GREEN MD
NPI 1780682336
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Syracuse, NY

Q: What is Gary Green's NPI number?

The NPI number for Gary Green is 1780682336. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Q: What is Gary Green's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Green was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 08, 2005PECOS EnrolledAccepts Medicare Assignment

750 EAST ADAMS ST, SYRACUSE, NY 13210(315) 464-1800(315) 464-6238 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 21, 2022, Aug 29, 2017 (2 updates tracked since 2017).

On this page

About Gary Randall Green Md NPPES

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

GARY RANDALL GREEN MD (NPI 1780682336) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Syracuse, New York, licensed in New York (224487) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Northwestern University Feinberg Medical School (1994).

NPPES Registry Identity

NPI1780682336

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameGARY RANDALL GREENCredential: MD

Location Address750 EAST ADAMS STSyracuse, NY 13210

Mailing Address251 Salina Meadows Pkwy Ste 100Syracuse, NY 13212-4516 · (315) 464-2000 · Fax (315) 464-2010

Phone(315) 464-1800

Fax(315) 464-6238

Sole ProprietorNo

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1994

Enumeration DateJuly 8, 2005

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1780682336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in NY · 224487

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

750 EAST ADAMS ST, Syracuse, NY 13210

Open in Google Maps ↗

Other Identifiers 1

Medicaid02256848NY

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

Gary Randall 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 ID5395765077

PECOS Enrollment IDI20051123000473

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.

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330125

Location1425 Portland AvenueRochester, NY 14621 · Monroe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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

$166.88 typical visit price

range $54.87 – $166.88

Typical copayment $41.72 (range $13.71 – $41.72)

Most-billed visit code 99205

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers14 claims14 services$60.83 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 20

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

NICHOLAS ZACCOR MD,PHD

Otolaryngology