DALE JERRY GREEN PA-C
NPI 1861044117
Physician Assistant in Salt Lake City, UT
About Dale Jerry Green Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DALE JERRY GREEN PA-C (NPI 1861044117) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (11918961-1206) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of University Of Utah School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Dale Jerry Green Pa-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Utah Hospitals And Clinics
Acute Care Hospitals · Salt Lake City, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84132 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Dale Green's NPI number?
The NPI number for Dale Green is 1861044117. It was assigned to this individual provider in the NPPES registry on July 16, 2019.
Where is Dale Green located?
Dale Green practices at 85 N Medical Dr, Salt Lake City, UT 84132. The listed phone number is (801) 213-8584.
What is Dale Green's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Dale Green enrolled in Medicare?
Yes. Dale 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.
What insurance does Dale Green accept?
Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Dale Green as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Dale Green affiliated with any hospitals?
According to CMS data, Dale Green is affiliated with University Of Utah Hospitals And Clinics.
When was this NPI record last updated?
The NPPES record for Dale Green was last updated on October 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.
