Individual provider Active NPI

Benjamin Green, DPM

  • Foot & Ankle Surgery Podiatrist
  • Coatesville, PA
National Provider Identifier
1154852085
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC007230 Issued in PA
Practice address
495 Highland Blvd Ste 103
Coatesville, PA 19320-5822
Phone
(610) 343-3668
Fax
(610) 365-4991
NPI assigned
Mar 22, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC007230 PA Primary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 0103301302 VA
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

495 Highland Blvd Ste 103
Coatesville, PA 19320-5822

Mailing address

495 Highland Blvd Ste 103
Coatesville, PA 19320-5822
Phone (610) 343-3668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220525000011 PA Practitioner - Podiatry 7719257153 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster County Podiatry LLPGroup PAC ID 6507846243, 5 clinicians

Practice addresses (Care Compare)

495 Highland Blvd
Suite 103
Coatesville, PA 19320-5822
Phone (610) 343-3668

804 Grandview Dr
Suite 1
Ephrata, PA 17522-1681
Phone (717) 733-2251

Hospital & facility affiliations

  • Penn State Health Lancaster Medical Center Hospital, Lancaster, PA, CCN 390339

Merit-based Incentive Payment System (MIPS)

Final score
97.06 of 100Reported as group
Quality
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue87
Removal of skin lesions1-10
Removal of nail tissue808
Removal or shaving of skin growth222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster County Podiatry LLP Single Specialty CurrentSince Jul 1, 2022 Accepting new patients
Green Foot and Ankle LTD Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Craig S Schein DPM Single Specialty PastSince Jul 1, 2020 Accepting new patients
Northeastern Vermont Regional Hospital Inc. PastSince Feb 1, 2022 Accepting new patients

Locations

495 Highland Blvd
Ste 103
Coatesville, PA 19320
Phone (610) 343-3668

804 Grandview Dr
Ste 1
Ephrata, PA 17522
Phone (717) 627-2403

30 Copperfield Cir
Lititz, PA 17543

Interoperability endpoints

  • Direct secure messaging: benjamingreen@southwestpodiatry.ssdirect.aprima.com
  • Direct secure messaging: benjamin.green@lancastercountypodiatryllp.chartmakerdirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1154852085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 HIGHLAND BLVD STE 103",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193205822",
            "telephone_number": "610-343-3668",
            "fax_number": "610-365-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 HIGHLAND BLVD STE 103",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193205822",
            "telephone_number": "610-343-3668",
            "fax_number": "610-365-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-22",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC007230",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301302",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coatesville, PA

Sources for this page

Verify at the official NPI Registry.